Rudolph Smith

NPI 1285937722 · on the registry since 2010 · sole proprietor

Practice

Address: 2580 San Pablo Ave
Oakland, CA 94612
Phone: (510) 444-9655
Fax: (510) 444-9955
Organisation at this address: Healthy Oakland
Healthy Communities, Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California