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NPI Code Detail

MEDICARE: ARTAYJA SMITH LMT

MEDICARE: ARTAYJA SMITH LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist84722CA

General Provider Information

NPI Number : 1003627050
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTAYJA SMITH LMT
Provider Business Mailing Address
First Line : 17595 HARVARD AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-8516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10090 ADAMS AVE STE 16
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-4905
Country : US
Telephone Number : 949-674-8990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2025
Last Update Date : 01/17/2025

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