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MARINA RUSSMAN M.D. APC NPI 1053862029


NPI Information

NPI: 1053862029
Provider Name: MARINA RUSSMAN M.D., APC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
250 N ROBERTSON BLVD STE 106
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 273-2707
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MARINA RUSSMAN M.D., APC is a specialist in Beverly Hills, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARINA RUSSMAN M.D., APC NPI is 1053862029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 N ROBERTSON BLVD STE 106
BEVERLY HILLS, CA
ZIP 90211-767
Phone: (310) 273-2707
Fax: (310) 273-2737

The provider's authorized official is F Marina Russman .
The authorized official title is Owner and has the following contact phone number (310) 273-2707.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E85715MEDICARE UPINCALIFORNIA

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

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