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05D2120979 CLIA NUMBER - KENNETH RUSS, MD

Laboratory Demographics

CLIA Number: 05D2120979

Facility Name: KENNETH RUSS, MD

Facility Address:
7885 ANNADALE AVE
DESERT HOT SPRINGS, CA
ZIP 92240
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Facility Phone Number: 760 416-6773

Facility Type: Other - TREATMENT FACILITY

Certificate Type: Waiver
NPI Number: 1245258235

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2120979
LAB Type Other - TREATMENT FACILITY
Facility Name KENNETH RUSS, MD
Street 7885 ANNADALE AVE
City DESERT HOT SPRINGS
State CA
ZIP 92240
Phone 760 416-6773
CertificateType 4
CertificateEffectiveDate 10/27/2022
CertificateExpirationDate 10/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024