Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Marie Russo

Individual provider Pediatric Occupational Therapist · NPI 1861328262

Angela Marie Russo is a Pediatric Occupational Therapist in Lake Forest, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

22672 Lambert St Ste 611
Lake Forest, CA 92630-1613
Phone: (949) 329-8161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT29190 (CA)

Record details

NPI number1861328262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 21, 2026

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