MR. Costa Via
NPI #1497523682 in Lawndale, California
Provider Information
- NPI Number
- 1497523682
- Entity Type
- Individual
- Name
- MR. Costa Via
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 18, 2023
- Last Updated
- Dec 18, 2023
Practice Location
- Address
- 4580 W 173RD ST APT 115
- City
- Lawndale
- State
- California
- ZIP Code
- 90260-3440
- Phone
- (310) 421-4233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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