Brandon Smith
Community Health Worker in Northridge, CA. Individual provider (NPI-1).
NPI number1669900155
StatusActive
Last updated in NPPESMay 26, 2017
Details
- NPI
- 1669900155
- Entity type
- Individual (NPI-1)
- Name
- Brandon Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2017
- Last updated
- May 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
9650 Zelzah AveNorthridge, CA 91325-2003
Phone 818-993-9311
Mailing address
9650 Zelzah AveNorthridge, CA 91325-2003
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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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All 52 Community Health Worker providers in Northridge · All 3,607 providers in Northridge
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