Russell Sandberg, MD

NPI 1265522528 · on the registry since 2006 · sole proprietor

Practice

Address: 1466 Lincoln Ave
San Rafael, CA 94901
Phone: (415) 457-3755
Fax: (415) 457-0849
Organisation at this address: Marin Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 65

Registry record

Primary taxonomy: 207RA0401X
207RA0401X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-01

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