TARA ANASTASIA RUSSELL

LOS ANGELES, CA
NPI1982047635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  A136212)
Additional Taxonomies208C00000X Colon & Rectal Surgery
(Licence: CA  A136212)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-12
Last Update Date2023-03-07
Business Address
TARA ANASTASIA RUSSELL MD, MPH
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095-3955
Phone number: 310-794-7788
Mailing Address
TARA ANASTASIA RUSSELL MD, MPH
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: