Individual
VALENTINA RUSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3660
(858) 939-3660
Mailing address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3660
(858) 939-3647
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G58905
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G58905
CA
Other
Enumeration date
04/13/2006
Last updated
09/11/2025
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