Russell Fuller, PSY.D

NPI 1912336413 · on the registry since 2013

Practice

Address: 4225 Executive Sq
Suite 1110
La Jolla, CA 92037
Phone: (858) 558-7707
Fax: (858) 558-7708
Organisation at this address: Camino Renal Care Llc
Family First Home Care
Aurea Finezza Med Lounge
Pacific Health Supply Llc
Integral Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-11-05

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