Individual
JEROME F COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 BRANSFORD DR, LA PALMA, CA 90623-1123
(714) 994-3757
Mailing address
5301 BRANSFORD DR, LA PALMA, CA 90623-1123
(714) 994-3757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A32346
CA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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