Individual
PAMELA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, NNP-BC
Contact information
Practice address
4650 W SUNSET BLVD, MAILSTOP 31, LOS ANGELES, CA 90027-6062
(323) 361-3499
Mailing address
4650 W. SUNSET BOULEVARD, MAILSTOP 31, LOS ANGELES, CA 90027
(323) 361-3499
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
15465
CA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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