Provider Demographics
NPI:1366659880
Name:RUSSMAN, FRANCE-HELENE MARINA (MD)
Entity Type:Individual
Prefix:
First Name:FRANCE-HELENE
Middle Name:MARINA
Last Name:RUSSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12415 NORWALK BLVD UNIT 59600
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90652-7129
Mailing Address - Country:US
Mailing Address - Phone:310-294-9027
Mailing Address - Fax:562-453-3059
Practice Address - Street 1:12115 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2309
Practice Address - Country:US
Practice Address - Phone:310-294-9027
Practice Address - Fax:562-453-3059
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA48047208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA48047OtherSTATE LICENSE #
CAA48047OtherSTATE LICENSE #