Dr. Dylan Russell, M.D.
Surgery in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982145694
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1982145694
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dylan Russell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2017
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A201871 | CA | Yes |
Practice location
1520 San Pablo St Ste 4300Los Angeles, CA 90033-5330
Phone 626-476-7530
Mailing address
1520 San Pablo St Ste 4300Los Angeles, CA 90033-5330
Phone 626-476-7530
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