Jeffrey B. Smith
MOHS-Micrographic Surgeon
260 International Cir
San Jose
, California 95119-1130
Jeffrey B. Smith
MOHS-Micrographic Surgeon
260 International Cir
San Jose
, California 95119-1130
(510) 625-6262
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey B. Smith
- 1800 Harrison St Fl 7
- Oakland, CA
- Zip : 94612-3466
- Phone : (510) 625-6262
Second Address
- Jeffrey B. Smith
- 260 International Cir
- San Jose, CA
- Zip : 95119-1130
- Phone : (408) 972-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | G83307 | CA |
National Provider Identifier
| NPI | 1316011919 |
|---|---|
| Provider Name | Jeffrey B. Smith |
| First Address | Oakland, CA 94612-3466 |
| Second Address | San Jose, CA 95119-1130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2006 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G833070 | (05) | CA |
| G39384 | (02) |
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.