Simpson, Russell Edwin

Simpson, Russell Edwin is an sole proprietor health care provider with primary practice located at 1060 E Green St Ste 204 , Pasadena CA 91106-2431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Simpson, Russell Edwin can be contacted via phone (626) 308-7513.

Contact Information

Primary practice address
1060 E Green St Ste 204 Pasadena CA 91106-2431
Phone: (626) 308-7513
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G27895 California

Profile Details

NPI number 1114998721
LBN Legal business name Simpson, Russell Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114998721 NPPES
California Other 8372118 MEDICAL PIN
California MEDICAID 00G278951 MEDICAL PIN

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