Individual
DR. RUTH VIRGINIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4667
(310) 967-1884
(310) 967-1744
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1744
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G64566
CA
Other
Enumeration date
08/13/2006
Last updated
08/13/2014
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