Russ, Bruce Gary

Russ, Bruce Gary is an sole proprietor health care provider with primary practice located at 23331 El Toro Rd Suite 106, Lake Forest CA 92630-4891. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Russ, Bruce Gary can be contacted via phone (949) 859-9696.

Contact Information

Primary practice address
23331 El Toro Rd Suite 106 Lake Forest CA 92630-4891
Phone: (949) 859-9696
Fax: (949) 859-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 8877 California

Profile Details

NPI number 1912031535
LBN Legal business name Russ, Bruce Gary
Credentials L.AC., M.S.T.O.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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