Individual
BOHDAN RUSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9561
(415) 847-8420
Mailing address
10560 KEARNEY CT, SMARTSVILLE, CA 95977-9556
(415) 847-8420
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us