Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL M. RUSSOM, MD
ActiveDR. JILL M. RUSSOM, MD is a Family Medicine healthcare provider located in OROSI, California. NPI 1639140791 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OROSI, CA
Registration Details
- NPI Number
- 1639140791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2006 (20.550970388365 yrs)
- Last Updated
- Mar 27, 2012
- License
-
A71632 (CA)
Practice Information
- Address
-
12586 AVENUEOROSI, CA, 936479454Browse CA providers · Browse ZIP 93647
- Phone
- 5595282804
- Fax
- 5595287623
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in OROSI, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ALBERTO RUVALCABA | M.D. | 1598074338 |
| DR. HUGO ERNESTO LOPEZ MENDOZA | MD | 1083241384 |
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.