Provider Demographics
NPI:1245255678
Name:SMITH, RHIONNA JANE (PA-C)
Entity type:Individual
Prefix:MS
First Name:RHIONNA
Middle Name:JANE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5601 DE SOTO
Mailing Address - Street 2:KAISER PERMANENTE NEUROSURGERY DEPT
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-719-3519
Mailing Address - Fax:818-719-4513
Practice Address - Street 1:1301 20TH ST STE 400
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2080
Practice Address - Country:US
Practice Address - Phone:310-828-7757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18119363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant