Individual provider · Type 1 NPI

Trevor William Russell

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1134044886 Active

Practice location

1250 Bellflower Blvd Csulb
Long Beach, CA 90840-0001

Call (562) 985-4111 Map

Mailing address

13539 Lewis Ct
Fontana, CA 92336-3945

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134044886

Trevor William Russell's National Provider Identifier is 1134044886, issued on Aug 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Aug 12, 2026.