IndividualActive
Michael Russell, MD, MBA, MPH
NPI 1710484472 · Pediatric Orthopaedic Surgery Physician · Santa Monica, CA
Provider details
- NPI number
- 1710484472
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MBA, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- W6372 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone: (310) 319-3475
Approximate (ZIP-level) locationGet directions
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Additional practice locations (3)
- 1250 16th St Ste 2100Santa Monica, CA 90404-1249Phone: (310) 319-1234
- 1225 15th St Ste 2100Santa Monica, CA 90404-1101Phone: (310) 319-1234
- 4102 24th St Ste 506Lubbock, TX 79410-1805Phone: (806) 725-7980Fax: (806) 723-7985
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.