Costa, Sofia
Costa, Sofia is an sole proprietor health care provider with primary practice located at 900 Wilshire Blvd Suit #318, Santa Monica CA 90401-1872. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Costa, Sofia can be contacted via phone (347) 451-3626.Contact Information
Primary practice address
900 Wilshire Blvd Suit #318
Santa Monica CA 90401-1872
Phone: (347) 451-3626
Fax: (424) 272-9772
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 39664 | California |
Profile Details
NPI number | 1720323702 |
---|---|
LBN Legal business name | Costa, Sofia |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 3rd, 2012 |
Last updated | Jun 24th, 2016 - about 8 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 | 1720323702 | NPPES |
California | Other | 39664 | STATE LICENSE |
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