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NPI Code Detail

MEDICARE: ROBERT G. SMITH JR. MD

MEDICARE: ROBERT G. SMITH JR. MD
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
1207V00000XObstetrics & Gynecology PhysicianC23682CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100C236820OTHERCAMEDICAL

General Provider Information

NPI Number : 1891886420
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT G. SMITH JR. MD
Provider Business Mailing Address
First Line : 3050 E AIRPORT WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2404
Country : US
Telephone Number : 562-426-9661
Fax Number : 562-426-4227
Provider Business Practice Location Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7283
Fax Number : 213-738-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 04/26/2026

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