Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A89961 | CA |
Y | 111NI0900X | Internist | A89961 | CA |
N | 207RG0300X | Geriatric Medicine | A89961 | CA |
NPI | 1124133525 |
---|---|
Provider Name | Dr. Adina Smarandache |
First Address | San Diego, CA 92127-5705 |
Second Address | Escondido, CA 92025-3363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 24/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I26241 | (02) | CA |