Dr. Phillip Jeffrey Smith
Pain Medicine
39700 Bob Hope Dr Ste 310
Rancho Mirage
, California 92270-3267
Dr. Phillip Jeffrey Smith
Pain Medicine
39700 Bob Hope Dr Ste 310
Rancho Mirage
, California 92270-3267
(760) 341-5832
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Phillip Jeffrey Smith
- Po Box 1730
- Rancho Mirage, CA
- Zip : 92270-1058
- Fax : (760) 341-5832
- Phone : (760) 568-2684
Second Address
- Dr. Phillip Jeffrey Smith
- 39700 Bob Hope Dr Ste 310
- Rancho Mirage, CA
- Zip : 92270-3267
- Fax : (760) 341-5832
- Phone : (760) 568-2684
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 20A10637 | CA |
National Provider Identifier
| NPI | 1386879625 |
|---|---|
| Provider Name | Dr. Phillip Jeffrey Smith |
| First Address | Rancho Mirage, CA 92270-1058 |
| Second Address | Rancho Mirage, CA 92270-3267 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2009 |
| Last Update Date | 04/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20A10637 | OSTEOPATHIC MEDICAL BOARD LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.