Bianca Elizabeth Russell
Pediatrician Clinical Genetics (M.D.)
200 Medical Plaza Ste 256
Los Angeles
, California 90095
Bianca Elizabeth Russell
Pediatrician Clinical Genetics (M.D.)
200 Medical Plaza Ste 256
Los Angeles
, California 90095
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Bianca Elizabeth Russell
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Bianca Elizabeth Russell
- 200 Medical Plaza Ste 256
- Los Angeles, CA
- Zip : 90095
- Phone : (310) 825-0867
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | A154948 | CA |
| N | 208000000X | Pediatrician | A154948 | CA |
National Provider Identifier
| NPI | 1548604895 |
|---|---|
| Provider Name | Bianca Elizabeth Russell |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2013 |
| Last Update Date | 06/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.