Search › California › 164X00000X
Sean Smith
NPI 1477184919 · on the registry since 2020 · sole proprietor
Practice
- Address
- 11962 Woodside Ave
Lakeside, CA 92040 - Phone
- (619) 561-1222
- Fax
- (619) 390-9487
- Organisation at this address
- Ghc Of Lakeside, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 6160 Mission Gorge Rd, San Diego, CA
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-05
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