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Individual
MR. RUSSELL BRIAN NG
Active
Individual
MR. RUSSELL BRIAN NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10517T
CA
152W00000X
Optometrist
Primary
10517TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0105170
—
CA
Enumeration date
01/12/2007
Last updated
07/24/2025
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