Individual provider · Type 1 NPI

Alycia Renee Smith, RN

Administrator Registered Nurse · Costa Mesa, CA

NPI number 1104782564 Active

Practice location

630 Center St Unit B
Costa Mesa, CA 92627-2709

Call (707) 541-8731 Map

Fax (949) 209-1995

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XRN95368561 (CA)

Administrator Registered Nurse: Definition to come...

About NPI 1104782564

Alycia Renee Smith, RN's National Provider Identifier is 1104782564, issued on Dec 30, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 30, 2025.