Clark E Smith in San Diego - Psychiatry

Clark E Smith - NPI 1518049212

Clark E Smith is a Psychiatry in San Diego, California. Clark E Smith practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Clark E Smith is 1518049212. The last update date is 2009-04-28.

Clark E Smith's current location address is 9820 Willow Creek Rd, San Diego, California. You can contact this provider via phone number 8585309112 and fax number 8585309118. The mailing address for Clark E Smith is 9820 Willow Creek Rd, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Clark E Smith
Address 9820 Willow Creek Rd, San Diego, California
Phone Number 8585309112
Fax Number 8585309118
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1518049212
Provider Enumeration Date 2006-10-20
Last Updated Date 2009-04-28

Provider Mailing Address Detail

Address 9820 Willow Creek Rd
City San Diego
State California (CA)
Post Code 921311112
Phone Number 8585309112
Fax Number 8585309118

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No G49105
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
491050 CA --

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FAQs about Clark E Smith

What is the Clark E Smith's unique identification number?

The Clark E Smith has been assigned the NPI (National Provider Identifier) Number 1518049212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Clark E Smith located?

The Clark E Smith is located at 9820 Willow Creek Rd, San Diego, CA 921311112.

What is Clark E Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Clark E Smith's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518049212 to Clark E Smith?

The Centers for Medicare & Medicaid Services assigned the 1518049212 to Clark E Smith on 2006-10-20.

As of what date were the details pertaining to Clark E Smith last refreshed?

The information related to the Clark E Smith, including its address, specialty, and other relevant details, was last updated on 2009-04-28.

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