Provider Demographics
NPI:1033221171
Name:SZMIDT, MARIA JOLANTA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JOLANTA
Last Name:SZMIDT
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:12395 EL CAMINO REAL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3082
Mailing Address - Country:US
Mailing Address - Phone:858-259-5655
Mailing Address - Fax:858-259-5638
Practice Address - Street 1:12395 EL CAMINO REAL
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3082
Practice Address - Country:US
Practice Address - Phone:858-259-5655
Practice Address - Fax:858-259-5638
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-10-12
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Provider Licenses
StateLicense IDTaxonomies
CAA52235207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF70952Medicare UPIN