Most Relevant Information
Provider Data
| NPI Number: | 1003647892 |
| Provider Name: | BRYAN SMITH PSS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/25/2024 |
Provider Practice Location
302 W 5TH ST STE 308
SAN PEDRO
CA
907312750
Practice Location Phone/Fax
| Phone: | 4245706955 |
| Fax: | 4243631721 |
Provider Mailing Location
302 W 5TH ST STE 308
SAN PEDRO
CA
907312750
Provider Mailing Phone/Fax
| Phone: | 4245706955 |
| Fax: | 4243631721 |