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Dr. Nicholas Russell
Cardiovascular Disease Physician in Thousand Oaks, California
NPI 1528610425

Nicholas Russell is a Cardiovascular Disease Physician based in Thousand Oaks, CA and is specialized in Cardiovascular Disease. Nicholas Russell practices in Thousand Oaks, CA. The NPI Number for Nicholas Russell is 1528610425 and holds a License No. 17490 (California).

The current practice location address for Nicholas Russell is 2967 N Moorpark Rd, Thousand Oaks, CA and can be reached out via phone at 805-492-2436.

Location: 2967 N Moorpark Rd, Thousand Oaks, CA, 91360-4573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528610425
Provider Name
Nicholas Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2967 N Moorpark Rd, Thousand Oaks, CA, 91360-4573
Phone Number
805-492-2436
Fax Number
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17490 01 CA DVM LICENSE
institution
Provider Business Practice Location Address Details
Address
2967 N Moorpark Rd
City
Thousand Oaks
State
California
Zip
91360-4573
Phone Number
805-492-2436
Fax Number
person
Provider Business Mailing Address Details
Address
2967 N Moorpark Rd
City
Thousand Oaks
State
California
Zip
91360-4573
Phone Number
805-492-2436
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
17490 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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