Russell, Bianca Elizabeth
Russell, Bianca Elizabeth is an individual health care provider with primary practice located at 200 Medical Plaza Ste 256 , Los Angeles CA 90095. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Russell, Bianca Elizabeth can be contacted via phone (310) 206-6581.Contact Information
Primary practice address
200 Medical Plaza Ste 256
Los Angeles CA 90095
Phone: (310) 206-6581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A154948 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | A154948 | California |
Profile Details
| NPI number | 1548604895 |
|---|---|
| LBN Legal business name | Russell, Bianca Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Jul 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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