Smith, Tristen David

Smith, Tristen David is an individual health care provider with primary practice located at 58417 Twentynine Palms Highway , Yucca Valley CA 92284-7310. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Smith, Tristen David can be contacted via phone (760) 853-4888.

Contact Information

Primary practice address
58417 Twentynine Palms Highway Yucca Valley CA 92284-7310
Phone: (760) 853-4888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-XRYJKD California

Profile Details

NPI number 1780144501
LBN Legal business name Smith, Tristen David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated May 31st, 2024 - about 7 months 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.

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