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Contact Information

MATTHEW J SMITH, P.A.-C
22032 FRANK SINATRA DRIVE
SUITE 100
RANCHO MIRAGE, CA92270
 Phone: 760-325-5588
 Fax: 760-322-7069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW J SMITH · (Male)

NPI # 1295774826
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 06/06/2006
Last updated 07/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA18314
  • CA Other WPA18314A INDIVIDUAL PTAN
  • CA Other P00346112 RAILROAD MEDICARE
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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