Suzanne Rebecca Smith | Los Angeles, CA • PECOS Search

Suzanne Rebecca Smith

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Ucla Medical Plaza 100 Ste 303, Los Angeles, CA 90095-1003

(310) 206-6279 (310) 206-0310

PECOS Enrollment

Based on the most recent information from CMS, provider Suzanne Rebecca Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1033308465
Provider Type
Individual
Full Name
Smith, Suzanne Rebecca
Title
Ms.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/22/2007
Last Updated
7/21/2022

Contact Information

Practice Location

Ucla Medical Plaza 100 Ste 303, Los Angeles, CA 90095-1003

(310) 206-4808

Mailing Location

10833 Le Conte Ave, Chs 42-210 Mc737818, Los Angeles, CA 90095-7378

(310) 825-1919

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 544272 California