Russo, Angela Marie

Russo, Angela Marie is an individual health care provider with primary practice located at 22672 Lambert St Ste 611 , Lake Forest CA 92630-1613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Russo, Angela Marie can be contacted via phone (949) 329-8161.

Contact Information

Primary practice address
22672 Lambert St Ste 611 Lake Forest CA 92630-1613
Phone: (949) 329-8161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT29190 California

Profile Details

NPI number 1861328262
LBN Legal business name Russo, Angela Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2026
Last updated Jun 23rd, 2026 - about 4 months 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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