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Contact Information

JORDAN A SMITH, MD
41238 MARGARITA RD
TEMECULA, CA92591-1805
 Phone: 951-676-4193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JORDAN A SMITH · (Male)

NPI Number 1821678111
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2021
Last updated 01/30/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A182611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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