Individual
DR. CHRISTOPHER COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2190 LYNN RD, STE 380, THOUSAND OAKS, CA 91360-8029
(805) 373-9919
Mailing address
2190 LYNN RD, STE 380, THOUSAND OAKS, CA 91360-8029
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G46454
CA
Other
Enumeration date
11/16/2006
Last updated
01/09/2008
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