Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ernest Clarence Koani Smith Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1275308025

Ernest Clarence Koani Smith Jr., IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-4856
Phone: (808) 492-7003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1275308025
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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