Individual
HUBERT ANTHONY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3831 HUGHES AVE STE 601, CULVER CITY, CA 90232-6844
(310) 204-0223
(310) 204-4251
Mailing address
3831 HUGHES AVE STE 601, CULVER CITY, CA 90232-6844
(310) 204-0223
(310) 204-4251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A320770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A320770
—
CA
Enumeration date
02/21/2007
Last updated
07/09/2007
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