Russell, David

Russell, David is an individual health care provider with primary practice located at 19582 Beach Blvd Ste 250 , Huntington Beach CA 92648-5977. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Russell, David can be contacted via phone (714) 477-8020.

Contact Information

Primary practice address
19582 Beach Blvd Ste 250 Huntington Beach CA 92648-5977
Phone: (714) 477-8020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A181730 California

Profile Details

NPI number 1578022810
LBN Legal business name Russell, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2019
Last updated Jan 22nd, 2024 - about 2 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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