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Dr. Patricia Russell, MD
Specialist in Los Angeles, California
NPI 1467586149

Patricia Russell is a Specialist based in Los Angeles, CA. Patricia Russell practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Patricia Russell is 1467586149 and holds a License No. G26095 (California).

The current practice location address for Patricia Russell is 2005 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-484-4444 and via fax at 213-484-4444.

Location: 2005 Wilshire Blvd, Los Angeles, CA, 90057-3503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467586149
Provider Name
Patricia Russell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2005 Wilshire Blvd, Los Angeles, CA, 90057-3503
Phone Number
213-484-4444
Fax Number
213-484-4444
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G260950 05 CA
institution
Provider Business Practice Location Address Details
Address
2005 Wilshire Blvd
City
Los Angeles
State
California
Zip
90057-3503
Phone Number
213-484-4444
Fax Number
213-484-4444
person
Provider Business Mailing Address Details
Address
2005 Wilshire Blvd
City
Los Angeles
State
California
Zip
90057-3503
Phone Number
213-484-4444
Fax Number
213-484-4444
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G26095 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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