Renee Smith Md A Professional Corporation | |
8301 Florence Ave Ste 301 Downey CA 90240-3948 | |
(562) 774-8074 | |
(562) 861-3075 |
Full Name | Renee Smith Md A Professional Corporation |
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Speciality | Psychiatry & Neurology |
Location | 8301 Florence Ave Ste 301, Downey, California |
Authorized Official Name and Position | Renee E Smith (OWNER) |
Authorized Official Contact | 5627748074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renee Smith Md A Professional Corporation 10267 Newville Ave Downey CA 90241-3036 Ph: (562) 774-8074 | Renee Smith Md A Professional Corporation 8301 Florence Ave Ste 301 Downey CA 90240-3948 Ph: (562) 774-8074 |
NPI Number | 1285175786 |
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Provider Enumeration Date | 03/16/2017 |
Last Update Date | 04/07/2017 |
Medicare PECOS PAC ID | 1254616550 |
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Medicare Enrollment ID | O20170329001858 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285175786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G68298 (California) | Primary |
Provider Name | Renee E Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710030812 PECOS PAC ID: 7810912193 Enrollment ID: I20051006000537 |
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