Provider Demographics
NPI:1578973913
Name:SMIGIEL, CLAIRE BOTTOMLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:BOTTOMLEY
Last Name:SMIGIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:ELIZABETH
Other - Last Name:BOTTOMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1931 GRIFFITH PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-3518
Mailing Address - Country:US
Mailing Address - Phone:914-610-0469
Mailing Address - Fax:
Practice Address - Street 1:94 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1740
Practice Address - Country:US
Practice Address - Phone:818-858-2071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA149642207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology