Costa, Jamisson
Costa, Jamisson is an individual health care provider with primary practice located at 2900 Sepulveda Blvd , Torrance CA 90505-2804. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Costa, Jamisson can be contacted via phone (310) 325-5885.Contact Information
Primary practice address
2900 Sepulveda Blvd
Torrance CA 90505-2804
Phone: (310) 325-5885
Fax: (310) 539-6049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1558863688 |
|---|---|
| LBN Legal business name | Costa, Jamisson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2018 |
| Last updated | Mar 5th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558863688 | NPPES |
| Other | 1043656234 | ATHENANET |
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