Smith, Janellen

Smith, Janellen is an individual health care provider with primary practice located at 15374 Alton Pkwy , Irvine CA 92618-2362. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Smith, Janellen can be contacted via phone (949) 585-0205.

Contact Information

Primary practice address
15374 Alton Pkwy Irvine CA 92618-2362
Phone: (949) 585-0205
Fax: (949) 585-9121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C50079 California

Profile Details

NPI number 1811948789
LBN Legal business name Smith, Janellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 21st, 2007 - about 18 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 1811948789 NPPES
California MEDICAID 00C500790

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