Provider Demographics
NPI:1588461966
Name:BABY'S FIRST PIC LLC
Entity type:Organization
Organization Name:BABY'S FIRST PIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DEANDRE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:424-337-3516
Mailing Address - Street 1:217 W CARRIAGEDALE DR
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5715
Mailing Address - Country:US
Mailing Address - Phone:424-337-3516
Mailing Address - Fax:
Practice Address - Street 1:217 W CARRIAGEDALE DR
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5715
Practice Address - Country:US
Practice Address - Phone:424-337-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology