Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL LEONARD SANDBERG, MD
Active Sole ProprietorDR. RUSSELL LEONARD SANDBERG, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in SAN RAFAEL, California. NPI 1265522528 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1265522528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2006 (19.869334759636 yrs)
- Last Updated
- Dec 1, 2011
- License
-
G26538 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1466 LINCOLN AVESAN RAFAEL, CA, 949012021Browse CA providers · Browse ZIP 94901
- Phone
- 4154573755
- Fax
- 4154570849
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
Other Addiction Medicine (Internal Medicine) Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PARMIS YEGANEH RAD | M.D. | 1598977522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.