Search › California › 106S00000X
Isaiah Russell
NPI 1053174557 · on the registry since 2024
Practice
- Address
- 1835 Park Ave # 3
San Jose, CA 95126 - Phone
- (408) 318-3084
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California