Russ, Jonathan
Russ, Jonathan is an sole proprietor health care provider with primary practice located at 127 N Avalon Dr , Los Altos CA 94022-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Russ, Jonathan can be contacted via phone (650) 961-1102.Contact Information
Primary practice address
127 N Avalon Dr
Los Altos CA 94022-2318
Phone: (650) 961-1102
Fax: (650) 887-2277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G11925 | California |
Profile Details
| NPI number | 1003960592 |
|---|---|
| LBN Legal business name | Russ, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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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