Provider Demographics
NPI:1396754578
Name:SMITH, BARBARA ANN (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14120 ALONDRA BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5842
Mailing Address - Country:US
Mailing Address - Phone:562-407-2080
Mailing Address - Fax:562-407-2082
Practice Address - Street 1:200 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3910
Practice Address - Country:US
Practice Address - Phone:562-407-2080
Practice Address - Fax:562-407-2082
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2021-05-19
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Provider Licenses
StateLicense IDTaxonomies
CAG53925207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G539250Medicaid
CA00G539250Medicaid