Sandra Geraldine Russo in Long Beach - Nutrition, Metabolic
Sandra Geraldine Russo - NPI 1467657767
Sandra Geraldine Russo is a Nutrition, Metabolic in Long Beach, California. Sandra Geraldine Russo practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Sandra Geraldine Russo is 1467657767. The last update date is 2008-08-26.
Sandra Geraldine Russo's current location address is 2925 Palo Verde Ave, Long Beach, California. You can contact this provider via phone number 5624292473. The mailing address for Sandra Geraldine Russo is 2925 Palo Verde Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Geraldine Russo |
|---|---|
| Address | 2925 Palo Verde Ave, Long Beach, California |
| Phone Number | 5624292473 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1467657767 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 2925 Palo Verde Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908151552 |
| Phone Number | 5624292473 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 838417 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8381417 | CA | CDR |
Post Comment/ Review Below
What is the Sandra Geraldine Russo's 1467657767?
The Sandra Geraldine Russo's NPI (National Provider Identifier) Number is 1467657767. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sandra Geraldine Russo?
The Sandra Geraldine Russo is situated at 2925 Palo Verde Ave, in the city of Long Beach, state of CA, with the zip code 908151552.
What is Sandra Geraldine Russo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandra Geraldine Russo's area of specialization is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this field of practice is 133Vn1006X.
On what date was the 1467657767 assigned to Sandra Geraldine Russo?
The Sandra Geraldine Russo was issued its 1467657767 on 2007-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sandra Geraldine Russo most recently updated or revised?
The details related to Sandra Geraldine Russo, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-26.
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