Individual
XAVIER COSTOLINO HOGAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N CHESTER AVE, COMPTON, CA 90221-2701
(313) 106-3599
Mailing address
115 N CHESTER AVE, COMPTON, CA 90221-2701
(313) 106-3599
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
198320468
CA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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