Smith, Dwight

Smith, Dwight is an individual health care provider with primary practice located at 165 N La Brea Ave , Inglewood CA 90301-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Dwight can be contacted via phone (323) 678-1111.

Contact Information

Primary practice address
165 N La Brea Ave Inglewood CA 90301-1707
Phone: (323) 678-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C37854 California

Profile Details

NPI number 1346384864
LBN Legal business name Smith, Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Feb 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346384864 NPPES
California Other WC37854A MEDICARE RENDERING NUMBER
California MEDICAID 00C378540 MEDICARE RENDERING NUMBER

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