Carl W. Smith, M.D., INC.
Specialist in Chino, CA. Organization (NPI-2).
NPI number1649435637
StatusActive
Last updated in NPPESJul 19, 2008
Details
- NPI
- 1649435637
- Entity type
- Organization (NPI-2)
- Legal business name
- Carl W. Smith, M.D., INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2008
- Last updated
- Jul 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G40206 | CA | Yes |
Practice location
12598 Central AveSuite 109
Chino, CA 91710-3502
Phone 909-628-6556 · Fax 909-628-3831
Mailing address
12598 Central AveSuite 109
Chino, CA 91710-3502
Phone 909-628-6556 · Fax 909-628-3831
Authorized official
Carl W. Smith
President
9096286556
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