Ness, Russell L.
Ness, Russell L. is an individual health care provider with primary practice located at 12665 Garden Grove Blvd Ste 211 , Garden Grove CA 92843-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ness, Russell L. can be contacted via phone (714) 636-2890.Contact Information
Primary practice address
12665 Garden Grove Blvd Ste 211
Garden Grove CA 92843-1916
Phone: (714) 636-2890
Fax: (714) 636-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G27268 | California |
Profile Details
| NPI number | 1770552978 |
|---|---|
| LBN Legal business name | Ness, Russell L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Nov 3rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770552978 | NPPES |
| California | MEDICAID | ZZZ75439Z |
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