SearchCalifornia207XP3100X

Michael Russell, MD, MBA, MPH

NPI 1710484472 · on the registry since 2018

Practice

Address
1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401
Phone
(310) 319-3475
Organisation at this address
Uc Regents Ucla Dmpg Dermatology
Uc Regents Ucla Dept Of Med Prof Group
Regents Of The University Of California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Additional practice sites

  • 4102 24th St Ste 506, Lubbock, TX
  • 1225 15th St Ste 2100, Santa Monica, CA
  • 1250 16th St Ste 2100, Santa Monica, CA

Registry record

Primary taxonomy
207XP3100X
207XP3100X
Also registered as
207X00000X
Licence states on file
TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-04

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