Individual
MR. RUSSELL D SEAGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
801 S FLOWER ST, SUITE 204, LOS ANGELES, CA 90017-4625
(213) 481-7026
(213) 623-9985
Mailing address
26733 OAK GARDEN CT, NEWHALL, CA 91321-1434
(818) 681-4889
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
19979
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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