Organization
EDGAR Z. COSME, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR Z. COSME M.D. (OWNER)
(714) 269-3995
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 269-3995
Mailing address
PO BOX 888443, LOS ANGELES, CA 90088-8443
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C387471
—
CA
Enumeration date
09/29/2008
Last updated
01/17/2013
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