Individual
DR. JOHN STANTON COSTELLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-3200
Mailing address
10790 RANCHO BERNARDO RD # 4S-205, SAN DIEGO, CA 92127-5705
(858) 554-3200
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A185144
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME176188
FL
208D00000X
General Practice Physician
A185144
CA
208D00000X
General Practice Physician
ME176188
FL
208M00000X
Hospitalist Physician
A185144
CA
208M00000X
Hospitalist Physician
Primary
ME176188
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
02/24/2026
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