Search › California › 101YA0400X
Michael Russell
NPI 1174164222 · on the registry since 2019 · sole proprietor
Practice
- Address
- 155 Bimini Pl
Los Angeles, CA 90004 - Phone
- (213) 388-5423
- Organisation at this address
- Social Model Recovery Systems, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 86
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-05
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