Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A82278 | CA |
NPI | 1801899398 |
---|---|
Provider Name | Dr. Ronald W Smith |
First Address | Torrance, CA 90505-5041 |
Second Address | Long Beach, CA 90806-1590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 17/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A228781 | (05) | CA |