Organization
LA JOLLA CARDIOVASCULAR RESEARCH INSTITUTE, INC
Active
Organization
LA JOLLA CARDIOVASCULAR RESEARCH INSTITUTE, INC
Active
Other names
La Jolla Cardiovascular Research Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH RUSSO MD PHD (PHYSICIAN)
(855) 886-7595
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 350, LA JOLLA, CA 92037-1224
(858) 886-7595
Mailing address
9850 GENESEE AVE, SUITE 350, LA JOLLA, CA 92037-1224
(858) 886-7595
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G062682
CA
261QM2500X
Medical Specialty Clinic/Center
G062682
CA
Other
Enumeration date
02/19/2015
Last updated
04/29/2015
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