Individual
KATHARINE SCHULZ-COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-1814
(626) 396-2900
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A13042
CA
Other
Enumeration date
06/20/2012
Last updated
12/03/2020
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