Individual
DR. DENNIS L. COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE STE 430, LA JOLLA, CA 92037-1212
(858) 450-3388
(858) 450-3157
Mailing address
9850 GENESEE AVE STE 430, LA JOLLA, CA 92037-1212
(858) 450-3388
(858) 450-3157
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G33998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G339980
—
CA
Enumeration date
08/10/2006
Last updated
04/10/2023
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