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GLEN KENNETH RUSSELL LVN
NPI 1780973172
Licensed Vocational Nurse in Los Angeles, CA

Active since April 06, 2011
422 S.MARIPOSA, 202, LOS ANGELES, CA 90020(213) 531-6325 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Kenneth Russell Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN KENNETH RUSSELL LVN (NPI 1780973172) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (VN221980) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1780973172
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameGLEN KENNETH RUSSELLCredential: LVN
Location Address422 S.MARIPOSA, 202Los Angeles, CA 90020
Mailing Address422 S.mariposa, 202Los Angeles, CA 90020 · (213) 531-6325
Phone(213) 531-6325
Sole ProprietorYes
Enumeration DateApril 6, 2011
✔ NPI 1780973172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN221980
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
422 S.MARIPOSA, Los Angeles, CA 90020
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Russell's NPI number?

The NPI number for Glen Russell is 1780973172. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Glen Russell located?

Glen Russell practices at 422 S.Mariposa 202, Los Angeles, CA 90020. The listed phone number is (213) 531-6325.

What is Glen Russell's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Glen Russell was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.