Michael Anthony Russo in Fountain Valley - Surgery
Michael Anthony Russo - NPI 1700084381
Michael Anthony Russo is a Surgery in Fountain Valley, California. Michael Anthony Russo practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael Anthony Russo is 1700084381. The last update date is 2023-03-07.
Michael Anthony Russo's current location address is 1811 Brookfurst St #5600, Fountain Valley, California. You can contact this provider via phone number 7148614666 and fax number 7148614682. The mailing address for Michael Anthony Russo is 1811 Brookfurst St #5600, Fountain Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Anthony Russo |
|---|---|
| Address | 1811 Brookfurst St #5600, Fountain Valley, California |
| Phone Number | 7148614666 |
| Fax Number | 7148614682 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700084381 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1811 Brookfurst St #5600 |
|---|---|
| City | Fountain Valley |
| State | California (CA) |
| Post Code | 927086728 |
| Phone Number | 7148614666 |
| Fax Number | 7148614682 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | Q1013 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ASO2532199374 | NV | NV BOARD OF PHARM | |
| LL1802 | NV | NV MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Anthony Russo by the Centers for Medicare & Medicaid Services?
The Michael Anthony Russo has been issued the NPI (National Provider Identifier) 1700084381, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael Anthony Russo's facilities are geographically located?
The facilities of Michael Anthony Russo are physically situated at the following location: 1811 Brookfurst St #5600, Fountain Valley, CA, 927086728.
What is Michael Anthony Russo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Anthony Russo is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date was the 1700084381 assigned to Michael Anthony Russo?
The Michael Anthony Russo was issued its 1700084381 on 2007-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael Anthony Russo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Anthony Russo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA