Individual
COLE HARRISON COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(714) 991-5700
Mailing address
3102 SILVERWOOD DR, LOS ALAMITOS, CA 90720-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64026
CA
Other
Enumeration date
02/01/2024
Last updated
07/18/2024
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