Individual
RUSSELL J MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MS #78, LOS ANGELES, CA 90027-6062
(323) 361-5704
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G26313
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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