Provider Demographics
NPI:1881854073
Name:KAMBIC SMITH, PARTNERS
Entity Type:Organization
Organization Name:KAMBIC SMITH, PARTNERS
Other - Org Name:CANWOOD FAMILY PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:P T
Authorized Official - Phone:818-707-2182
Mailing Address - Street 1:29525 CANWOOD ST STE 113
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4230
Mailing Address - Country:US
Mailing Address - Phone:818-707-2182
Mailing Address - Fax:
Practice Address - Street 1:29525 CANWOOD ST STE 113
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4230
Practice Address - Country:US
Practice Address - Phone:818-707-2182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9134261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy