Provider Demographics
NPI:1205667102
Name:SMITH, GIANNA R (DACM)
Entity type:Individual
Prefix:DR
First Name:GIANNA
Middle Name:R
Last Name:SMITH
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 WARING RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2704
Mailing Address - Country:US
Mailing Address - Phone:973-609-8445
Mailing Address - Fax:
Practice Address - Street 1:3565 DEL REY ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5703
Practice Address - Country:US
Practice Address - Phone:619-786-8960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist