Kyle P. Smith | Los Angeles, CA • PECOS Search

Kyle P. Smith

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

4620 Hollywood Blvd, Los Angeles, CA 90027-5408

PECOS Enrollment

Based on the most recent information from CMS, provider Kyle P. 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 34 days ago.

Profile Details

Provider ID
1932593068
Provider Type
Individual
Full Name
Smith, Kyle P.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/26/2015
Last Updated
12/31/2022

Contact Information

Practice Location

4620 Hollywood Blvd, Los Angeles, CA 90027-5408

(844) 706-6440

Mailing Location

4620 Hollywood Blvd, Los Angeles, CA 90027-5408

(844) 706-6440

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A144448 California