Healthcare Provider Details

I. General information

NPI: 1437804143
Provider Name (Legal Business Name): BRITTANY D SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39139 10TH ST E
PALMDALE CA
93550-3419
US

IV. Provider business mailing address

45835 BERKSHIRE ST
LANCASTER CA
93534-5463
US

V. Phone/Fax

Practice location:
  • Phone: 661-947-7191
  • Fax:
Mailing address:
  • Phone: 661-435-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberCCA9DD316F
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: