Individual
DR. ALBERT RUSSELL LA SPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S MANCHESTER AVE STE 110, ORANGE, CA 92868-3214
(714) 456-2332
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G88598
CA
207SG0203X
Clinical Molecular Genetics Physician
G88598
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G88598
CA
Other
Enumeration date
10/13/2006
Last updated
02/28/2023
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