Olivia Carmen Smith, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Glendora, California. Olivia Carmen Smith is licensed to practice in Nevada (license number 0506532) and her current practice location is 2439 Country Club Dr, Glendora, California. She can be reached at her office (for appointments etc.) via phone at
(949) 525-7601.
NPI number for Olivia Carmen Smith is 1841831864 and her current mailing address is 2439 Country Club Dr, Glendora, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841831864.
Physician's Profile
| Full Name | Olivia Carmen Smith |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 2439 Country Club Dr, Glendora, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841831864
- Provider Enumeration Date: 10/01/2019
- Last Update Date: 10/01/2019
Medical Identifiers
Medical identifiers for Olivia Carmen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841831864 | NPI | - | NPPES |
| 0506532 | Other | NV | NEVADA STATE BOARD OF ATHLETIC TRAINERS |
| 2000025843 | Other | CA | NATA/BOC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0506532 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Carmen Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Olivia Carmen Smith, ATC 2439 Country Club Dr, Glendora, CA 91741-4009 Ph: (949) 525-7601 | Olivia Carmen Smith, ATC 2439 Country Club Dr, Glendora, CA 91741-4009 Ph: (949) 525-7601 |
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