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NPI Code Detail

MEDICARE: LOUIS SMOLENSKY MD

MEDICARE: LOUIS SMOLENSKY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG26610CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023019411
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS SMOLENSKY MD
Provider Business Mailing Address
First Line : 11539 HAWTHORNE BLVD
Second Line : 6TH FLOOR
City : HAWTHORNE
State : CA
Zip : 90250-2325
Country : US
Telephone Number : 310-875-5370
Fax Number : 310-531-2084
Provider Business Practice Location Address
First Line : 11539 HAWTHORNE BLVD
Second Line : 6TH FLOOR
City : HAWTHORNE
State : CA
Zip : 90250-2325
Country : US
Telephone Number : 310-875-5370
Fax Number : 310-531-2084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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