Organization
ELIZABETH KOSTREY, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH KOSTREY M.D. (PRESIDENT)
(818) 957-2248
Entity
Organization
Contact information
Practice address
2258 FOOTHILL BLVD, SUITE300, LA CANADA, CA 91011-1457
(818) 957-2248
(818) 249-1425
Mailing address
2258 FOOTHILL BLVD, SUITE300, LA CANADA, CA 91011-1457
(818) 957-2248
(818) 249-1425
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A76521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851347769
NPI INDIVIDUAL
CA
Enumeration date
07/03/2006
Last updated
02/25/2011
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