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NPI Code Detail

MEDICARE: ANNEKA SMITH

MEDICARE: ANNEKA SMITH
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
1235Z00000XSpeech-Language Pathologist13032CA

General Provider Information

NPI Number : 1649109927
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNEKA SMITH
Provider Business Mailing Address
First Line : 500 N LORAINE AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2964
Country : US
Telephone Number : 626-852-4574
Fax Number :
Provider Business Practice Location Address
First Line : 500 N LORAINE AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2964
Country : US
Telephone Number : 626-852-4574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ ANNEKA SMITH ” Practice Location

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