JOIE RUSSO D.O. A PROFESSIONAL MEDICAL CORPORATION NPI 1225121049

NPI Information

JOIE RUSSO D.O. A PROFESSIONAL MEDICAL CORPORATION is an obstetrics obstetrics gynecology in Tarzana, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee JOIE RUSSO D.O. A PROFESSIONAL MEDICAL CORPORATION NPI is 1225121049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5525 ETIWANDA AVE #315
TARZANA, CA
ZIP 91356
Phone: (818) 757-2345
Fax: (818) 757-0137

The provider's authorized official is Joie D Russo .
The authorized official title is Doctor and has the following contact phone number (818) 757-2345.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/18/2018.

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:

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