Individual
JESSICA COSTALES-CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(323) 783-0339
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
20A16890
CA
Other
Enumeration date
05/03/2017
Last updated
05/02/2022
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