Individual
ANGELA GABRIELLE COSTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 E BROADWAY, LONG BEACH, CA 90803-6035
(888) 242-2522
Mailing address
2512 ARTESIA BLVD STE 305F, REDONDO BEACH, CA 90278-3269
(323) 844-8450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT28659
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
06/17/2026
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