Organization
EQUI-MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JOHN COSTELLO (PRESIDENT)
(805) 217-4998
Entity
Organization
Contact information
Practice address
1252 N SIERRA BONITA AVE, PASADENA, CA 91104-3147
(805) 217-4998
Mailing address
1252 N SIERRA BONITA AVE, PASADENA, CA 91104-3147
(805) 217-4998
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A43746
CA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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