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Organization
RUSSELL M GILBERTSON MD A PROFESSIONAL CORPORATION
Active
Organization
RUSSELL M GILBERTSON MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL GILBERTSON MD (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
1246 W 155TH ST, GARDENA, CA 90247-4011
(562) 407-2080
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G476910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G476910
—
CA
Enumeration date
11/30/2006
Last updated
10/29/2021
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