Individual provider · Type 1 NPI

Michael Anthony Russo, MD

Surgery Physician · Fountain Valley, CA

NPI number 1700084381 Active

Practice location

1811 Brookfurst St #5600
Fountain Valley, CA 92708-6728

Fax (714) 861-4682

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XQ1013 (TX)
Surgery Physician Primary 208600000XA125016 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1700084381

Michael Anthony Russo, MD's National Provider Identifier is 1700084381, issued on Jul 5, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 7, 2023.