Individual
DR. DYLAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033-5330
(626) 476-7530
Mailing address
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033-5330
(626) 476-7530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A201871
CA
Other
Enumeration date
03/14/2017
Last updated
08/01/2025
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