Search › California › 101YA0400X
Michael Smith
NPI 1982163473 · on the registry since 2019 · sole proprietor
Practice
- Address
- 349 W 11th St
San Bernardino, CA 92410 - Phone
- (909) 884-0840
- Organisation at this address
- Veterans Alcohol Rehabilitation Program, Inc.-Varp, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California