Search › California › 363LF0000X
Russell Pisano, N.P
NPI 1952413098 · on the registry since 2006
Practice
- Address
- 72780 Country Club Dr Ste 203
Rancho Mirage, CA 92270 - Phone
- (760) 834-3593
- Fax
- (760) 674-3845
- Organisation at this address
- Active Life, Llc
Jacome Medical Group
Jorge L. Eller, Md Inc
Ronald S. Levey, Md Inc
Farhad M Limonadi Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 1250 6th Ave, San Diego, CA
- 151 S Sunrise Way, Palm Springs, CA
- 39000 Bob Hope Dr, Rancho Mirage, CA
- 45280 Seeley Dr, La Quinta, CA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-23
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