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General NPI Number Information
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NPI Number | 1710690433
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Entity Type | Organization
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Legal Business Name | CARLOS A. SMITH, M.D, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1907 BORDER AVE
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City | TORRANCE
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State | CA
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Zip | 90501-3606
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Country | US
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Telephone | 844-443-6246
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Fax | 833-907-2235
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Provider Business Mailing Address
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Address Line | 685 3RD AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10017-4151
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Country | US
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Telephone | 844-553-6246
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Fax | 833-907-2235
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | CARLOS ALBERTO SMITH JR.
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Credential |
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Telephone | 844-443-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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