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Contact Information

RUSSELL J NILAND
1011 CAMINO DEL RIO SOUTH
SUITE 300
SAN DIEGO, CA92108
 Phone: 619-287-8225
 Fax: 619-393-0386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for RUSSELL J NILAND · (Male)

NPI Number 1639010101
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2026
Last updated 04/02/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # MPSS-WMGELR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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