Russo, Riley Rosemary

Russo, Riley Rosemary is an individual health care provider with primary practice located at 146 Crescent Bay Dr , Laguna Beach CA 92651-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russo, Riley Rosemary can be contacted via phone (949) 237-1555.

Contact Information

Primary practice address
146 Crescent Bay Dr Laguna Beach CA 92651-1321
Phone: (949) 237-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1932950219
LBN Legal business name Russo, Riley Rosemary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 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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