Dr. Matthew Richard Russell
Pediatric Cardiologist
200 Ucla Medical Plz Ste 265
Los Angeles
, California 90095-7419
Dr. Matthew Richard Russell
Pediatric Cardiologist
200 Ucla Medical Plz Ste 265
Los Angeles
, California 90095-7419
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Richard Russell
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Dr. Matthew Richard Russell
- 200 Ucla Medical Plz Ste 265
- Los Angeles, CA
- Zip : 90095-7419
- Fax : (310) 794-5066
- Phone : (310) 825-0867
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | A133403 | CA |
National Provider Identifier
| NPI | 1225473077 |
|---|---|
| Provider Name | Dr. Matthew Richard Russell |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095-7419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2013 |
| Last Update Date | 06/12/2021 |
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.