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1942248000 NPI number — EMILIA SMUSHKOVICH M.D

NPI Number: 1942248000
Health Care Provider/Practitioner: EMILIA SMUSHKOVICH M.D

Information about “1942248000” NPI (EMILIA SMUSHKOVICH M.D) exists in 1942248000 in HTML format HTML  |  1942248000 in plain Text format TXT  |  1942248000 in PDF (Portable Document Format) PDF  |  1942248000 in an XML format XML  formats.

NPI Number : 1942248000 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942248000",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMUSHKOVICH",
    "FirstName": "EMILIA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11301 WILSHIRE BLVD # 10C1",
    "SecondLineMailingAddress": "BLDG 500,ROOM 1A010(PACC)",
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90073-1003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-478-3711",
    "MailingAddressFaxNumber": "310-268-4433",
    "FirstLinePracticeLocationAddress": "11301 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": "BLD 500(10C1)",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90073-1003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-478-3711",
    "PracticeLocationAddressFaxNumber": "310-268-4433",
    "EnumerationDate": "06/02/2006",
    "LastUpdateDate": "01/29/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "C50078",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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