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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811948789 | NPPES |
| California | MEDICAID | 00C500790 |
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