NPI 1013120286

John Baptist Russo, MD

Practitioner Public Health & General Preventive Medicine Physician San Pedro, CA

Practice location

Address: 593 W 6th St, San Pedro, CA 90731-2521
Phone: (310) 547-0202
Fax: (310) 547-5096

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence A39364 (CA)

Other Preventive Medicine providers in California →

Registry record

NPI: 1013120286
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.