Costouros, John George

Costouros, John George is an individual health care provider with primary practice located at 450 Broadway St Pavilion C, Mc 6342, Redwood City CA 94063-3132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Costouros, John George can be contacted via phone (650) 725-6609.

Contact Information

Primary practice address
450 Broadway St Pavilion C, Mc 6342 Redwood City CA 94063-3132
Phone: (650) 725-6609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A71437 California

Profile Details

NPI number 1437238565
LBN Legal business name Costouros, John George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 20th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437238565 NPPES
California MEDICAID 00A714370

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