Individual
RUSSELL D ALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16766 BERNARDO CENTER DR, SAN DIEGO, CA 92128, SAN DIEGO, CA 92128-2546
(858) 229-3959
Mailing address
32155 CORTE CARMELA, TEMECULA, CA 92592-4303
(858) 229-3959
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
CA
Other
Enumeration date
10/08/2024
Last updated
10/23/2024
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