Search › California › 208600000X
Michael Russo, MD
NPI 1700084381 · on the registry since 2007
Practice
- Address
- 1811 Brookfurst St #5600
Fountain Valley, CA 92708 - Phone
- (714) 861-4666
- Fax
- (714) 861-4682
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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