Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costromas Abercrombie

Individual provider Rehabilitation Practitioner · NPI 1114510161

Costromas Abercrombie is a Rehabilitation Practitioner in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11601 S Western Ave
Los Angeles, CA 90047-5006
Phone: (323) 242-5000
Fax: (310) 945-3356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 — (310) 945-3350

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 101075 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1114510161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address11601 S Western Ave, Los Angeles, CA 90047-5006

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