Healthcare Provider Details

I. General information

NPI: 1568664548
Provider Name (Legal Business Name): GEOFFREY ARTHUR SMITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7910 FROST ST # 420
SAN DIEGO CA
92123-2771
US

IV. Provider business mailing address

7910 FROST ST # 420
SAN DIEGO CA
92123-2771
US

V. Phone/Fax

Practice location:
  • Phone: 800-280-3173
  • Fax:
Mailing address:
  • Phone: 800-280-3173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberG24829
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberG24829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: