Individual
JOHN GEORGE COSTOUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 EL CAMINO REAL STE 100, MENLO PARK, CA 94027-4111
(650) 325-1395
(650) 325-2019
Mailing address
1706 EL CAMINO REAL STE 100, MENLO PARK, CA 94027-4111
(650) 325-1395
(650) 325-2019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A71437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714370
—
CA
Enumeration date
11/02/2006
Last updated
06/26/2026
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