JENNEFER ALLYN RUSSO M.D. NPI 1023033081

NPI Information

NPI: 1023033081
Provider Name: JENNEFER ALLYN RUSSO, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
700 S. TUSTIN STREET
ORANGE, CA
ZIP 92866
Phone: (714) 633-6373
Get Directions

Jennefer Allyn Russo, M.D. is a gynecology obstetrics gynecology in Orange, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Jennefer Allyn Russo, M.D. NPI is 1023033081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 S. TUSTIN STREET
ORANGE, CA
ZIP 92866
Phone: (714) 633-6373
Fax: (714) 532-2522

The NPI 1023033081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 12/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	MD439233	PENNSYLVANIA	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	A82067	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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