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Tara Anastasia Russell, MD,MPH
Surgery Physician in Los Angeles, California
NPI 1982047635

Tara Anastasia Russell is a Surgery Physician based in Los Angeles, CA. Tara Anastasia Russell practices in Los Angeles, CA and has the professional credentials of MD,MPH. The NPI Number for Tara Anastasia Russell is 1982047635 and holds a License No. A136212 (California).

The current practice location address for Tara Anastasia Russell is 200 Ucla Medical Plz Ste 214, Los Angeles, CA and can be reached out via phone at 310-794-7788.

Location: 200 Ucla Medical Plz Ste 214, Los Angeles, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982047635
Provider Name
Tara Anastasia Russell
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Female
Address
200 Ucla Medical Plz Ste 214, Los Angeles, CA, 90045-5631
Phone Number
310-794-7788
Fax Number
Provider Enumeration Date
04/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A136212 01 CA CALIFORNIA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Ucla Medical Plz Ste 214
City
Los Angeles
State
California
Zip
90095-3955
Phone Number
310-794-7788
Fax Number
person
Provider Business Mailing Address Details
Address
200 Ucla Medical Plz Ste 214
City
Los Angeles
State
California
Zip
90095-3955
Phone Number
310-794-7788
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
A136212 (California)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
(California)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A136212 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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