Sueanne Smith
Registered Nurse in Los Angeles, CA. Individual provider (NPI-1).
NPI number1649985136
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1649985136
- Entity type
- Individual (NPI-1)
- Name
- Sueanne Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95176193 | CA | Yes |
Practice location
1807 E 120th StLos Angeles, CA 90059-3005
Phone 424-338-2930
Mailing address
1807 E 120th StLos Angeles, CA 90059-3005
Phone 424-338-2930
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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