Individual provider · Type 1 NPI

Krista Russo, PA-C

Medical Physician Assistant · Temecula, CA

NPI number 1922471192 Active

Practice location

41715 Winchester Rd, 101
Temecula, CA 92590-4808

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X53036 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1922471192

Krista Russo, PA-C's National Provider Identifier is 1922471192, issued on Nov 9, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Temecula, CA. The record was last updated on Nov 9, 2015.