Dr. Christy A Russell
Medical Oncology
1441 Eastlake Ave Nor 8302e
Los Angeles
, California 90089-0112
Dr. Christy A Russell
Medical Oncology
1441 Eastlake Ave Nor 8302e
Los Angeles
, California 90089-0112
(323) 865-3105
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Christy A Russell
- Po Box 31309
- Los Angeles, CA
- Zip : 90031-0309
- Phone : (323) 865-3105
Second Address
- Dr. Christy A Russell
- 1441 Eastlake Ave Nor 8302e
- Los Angeles, CA
- Zip : 90089-0112
- Phone : (323) 865-3105
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | G49893 | CA |
National Provider Identifier
| NPI | 1154350601 |
|---|---|
| Provider Name | Dr. Christy A Russell |
| First Address | Los Angeles, CA 90031-0309 |
| Second Address | Los Angeles, CA 90089-0112 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 03/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G498930 | (05) | CA |
| 00G498930 | BLUE SHIELD (01) | CA |
| 1356390009 | GROUP NPI (01) | CA |
| 1902846306 | GROUP NPI (01) | CA |
| 900002283 | RAILROAD MEDICARE (01) | CA |
| A51500 | (02) | CA |
| CE1617 | GROUP RAILROAD MEDICARE (01) | CA |
| GR0016910 | GROUP MEDICAID PIN (01) | CA |
| GR0100430 | GROUP MEDICAL (01) | CA |
| W11675 | GROUP MEDICARE PIN (01) | CA |
| W18762 | GROUP MEDICARE (01) | CA |
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.