Kino, Russ

Kino, Russ is an individual health care provider with primary practice located at 1328 22Nd Street , Santa Monica CA 90404-2091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kino, Russ can be contacted via phone (310) 582-7089.

Contact Information

Primary practice address
1328 22Nd Street Santa Monica CA 90404-2091
Phone: (310) 582-7089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A48071 California

Profile Details

NPI number 1699732636
LBN Legal business name Kino, Russ
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699732636 NPPES
California MEDICAID 00A480710

Popular Providers