Physician Compare National (NPI:1003999541)

HEALTHCARE PROVIDER: STEPHEN CARROLL SMITH DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003999541
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597929844
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120618000193
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15651 IMPERIAL HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	LA MIRADA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	906381600
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5629020050
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y