Organization
DOSSIER HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KOSTOS (MANAGER)
(818) 823-4352
Entity
Organization
Contact information
Practice address
138 N BRAND BLVD STE 200-106, GLENDALE, CA 91203-4614
(818) 823-4352
(818) 230-9029
Mailing address
138 N BRAND BLVD STE 200-106, GLENDALE, CA 91203-4614
(818) 823-4352
(818) 230-9029
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
A82437
CA
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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