Search › California › 171M00000X
Nathaniel Smith
NPI 1750947602 · on the registry since 2019 · sole proprietor
Practice
- Address
- 431 Mackay Dr
San Bernardino, CA 92408 - Phone
- (909) 433-9300
- Fax
- (909) 433-9308
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-16
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