| Dominique Cherie Smith, MD | |
|
565 Pier Ave Unit 1352, Hermosa Beach, CA 90254-8281 | |
| (949) 371-9773 | |
| Not Available |
| Full Name | Dominique Cherie Smith |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 565 Pier Ave Unit 1352, Hermosa Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225692460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 178943 (California) | Primary |
| Entity Name | Michael Decker Do, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528410842 PECOS PAC ID: 9830481746 Enrollment ID: O20160714000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Cherie Smith, MD 11234 Anderson St Ste C, Loma Linda, CA 92354-2804 Ph: () - | Dominique Cherie Smith, MD 565 Pier Ave Unit 1352, Hermosa Beach, CA 90254-8281 Ph: (949) 371-9773 |
Dr. Bao Thai Nguyen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254 Phone: 424-488-0500 Fax: 424-488-0498 | |
Matthew Ryan Robinson, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 555 Pier Ave Ste 1a, Hermosa Beach, CA 90254 Phone: 424-488-0500 | |
Dana A Kankolenski, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1601 Pacific Coast Hwy, Hermosa Beach, CA 90254 Phone: 310-698-0770 Fax: 310-698-0801 |