Doctor Name: | DR. JOHN BAPTIST RUSSO |
NPI Number: | 1013120286 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A39364 |
Business Practice Address: | 593 W 6th St San Pedro, CA - 907312521 |
Business Phone Number: | 3105470202 |
Business Fax Number: | 3105475096 |
Mailing Address: | 593 W 6th St, SAN PEDRO |
State: | CA |
Postal Code: | 907312521 |
Phone Number: | 3105470202 |
Fax Number: | 3105475096 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0901X |
License Number: | A39364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Public Health & General Preventive Medicine |
Taxonomy Definition: | Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |