Search › California › 106H00000X
Shanay Russell
NPI 1609376847 · on the registry since 2018
Practice
- Address
- 1433 S Robertson Blvd
Los Angeles, CA 90035 - Phone
- (301) 785-2121
- Fax
- (310) 553-6052
- Clinicians at this address
- 70
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-03
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