Organization
ISI J. RUSS, M.D., INC.
Active
Other names
East Los Angeles Emergency Associates Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ISI J RUSS M.D. (PRESIDENT)
(313) 268-5514
Entity
Organization
Contact information
Practice address
4060 E WHITTIER BLVD, LOS ANGELES, CA 90023-2526
(323) 268-5514
Mailing address
PO BOX 11600, WESTMINSTER, CA 92685-1600
(562) 809-3541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0026690
—
CA
Enumeration date
08/10/2006
Last updated
07/14/2010
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