Smith, Jennifer Ann
Smith, Jennifer Ann is an individual health care provider with primary practice located at 1510 San Pablo Street , Los Angeles CA 90033-5320. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Smith, Jennifer Ann can be contacted via phone (323) 442-5910.Contact Information
Primary practice address
1510 San Pablo Street
Los Angeles CA 90033-5320
Phone: (323) 442-5910
Fax: (323) 442-6888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A94579 | California |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | A94579 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | A94579 | California |
Profile Details
| NPI number | 1922290519 |
|---|---|
| LBN Legal business name | Smith, Jennifer Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Nov 26th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922290519 | NPPES |
| California | MEDICAID | 1922290519 |
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