Charity Penaloza Russell, MD
Preventive Medicine, Occupational Medicine in Redlands, CA. Individual provider (NPI-1).
NPI number1427468024
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1427468024
- Entity type
- Individual (NPI-1)
- Name
- Charity Penaloza Russell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2014
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | A138855 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 201379 | NC |
Practice location
26001 Redlands BlvdRedlands, CA 92373-7762
Phone 909-894-7938
Mailing address
26001 Redlands BlvdRedlands, CA 92373-7762
Phone 909-894-7938
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