Russell, Charity Penaloza

Russell, Charity Penaloza is an individual health care provider with primary practice located at 78822 Highway 111 , La Quinta CA 92253. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Russell, Charity Penaloza can be contacted via phone (760) 777-7701.

Contact Information

Primary practice address
78822 Highway 111 La Quinta CA 92253
Phone: (760) 777-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 201379 North Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A138855 California

Profile Details

NPI number 1427468024
LBN Legal business name Russell, Charity Penaloza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated Apr 6th, 2018 - about 8 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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