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Loren Donnell Smith Od Inc
Clinic/Center in Newark, California
NPI 1649692575

Loren Donnell Smith Od Inc is a Clinic/Center based in Newark, CA. Loren Donnell Smith Od Inc practices in Newark, CA. The NPI Number for Loren Donnell Smith Od Inc is 1649692575 and holds a License No. 07354TLG (California).

The current practice location address for Loren Donnell Smith Od Inc is 35149 Newark Blvd, Newark, CA and can be reached out via phone at 510-796-3937.

Location: 35149 Newark Blvd, Newark, CA, 94560-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649692575
Provider Name
Loren Donnell Smith Od Inc
Credential
Provider Entity Type
Organization
Address
35149 Newark Blvd, Newark, CA, 94560-1209
Phone Number
510-796-3937
Fax Number
Provider Enumeration Date
01/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SD0073540 05 CA
institution
Provider Business Practice Location Address Details
Address
35149 Newark Blvd
City
Newark
State
California
Zip
94560-1209
Phone Number
510-796-3937
Fax Number
person
Provider Business Mailing Address Details
Address
35149 Newark Blvd
City
Newark
State
California
Zip
94560-1209
Phone Number
510-796-3937
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
07354TLG (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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