Russell Leonard Sandberg in San Rafael - Addiction Medicine
Russell Leonard Sandberg - NPI 1265522528
Russell Leonard Sandberg is a Addiction Medicine in San Rafael, California. Russell Leonard Sandberg practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Russell Leonard Sandberg is 1265522528. The last update date is 2011-12-01.
Russell Leonard Sandberg's current location address is 1466 Lincoln Ave, San Rafael, California. You can contact this provider via phone number 4154573755 and fax number 4154570849. The mailing address for Russell Leonard Sandberg is 1466 Lincoln Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Leonard Sandberg |
|---|---|
| Address | 1466 Lincoln Ave, San Rafael, California |
| Phone Number | 4154573755 |
| Fax Number | 4154570849 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265522528 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 1466 Lincoln Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949012021 |
| Phone Number | 4154573755 |
| Fax Number | 4154570849 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | G26538 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G265381 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Russell Leonard Sandberg?
The Russell Leonard Sandberg has been issued the NPI (National Provider Identifier) 1265522528 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Russell Leonard Sandberg is physically located?
The Russell Leonard Sandberg is physically situated at the following address: 1466 Lincoln Ave, San Rafael, CA, 949012021.
What is Russell Leonard Sandberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Leonard Sandberg is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
When did the Russell Leonard Sandberg receive its 1265522528?
The Russell Leonard Sandberg was issued its 1265522528 on 2006-10-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Russell Leonard Sandberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell Leonard Sandberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-01.
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