Individual
CHRISTINE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(657) 278-3040
Mailing address
191 ARGONNE AVE STE 3, LONG BEACH, CA 90803-3231
(562) 434-6007
(562) 856-2370
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
568972
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14122
CA
Other
Enumeration date
11/16/2006
Last updated
08/25/2014
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