Mr. Costa Via
Mr. Costa Via is a Peer Specialist in Lawndale, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
4580 W 173rd St Apt 115Lawndale, CA 90260-3440
Phone: (310) 421-4233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-HNGJYI (CA) |
|---|
Record details
| NPI number | 1497523682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2023 |
| Last updated in NPPES | December 18, 2023 |
| Certification date | December 17, 2023 |
| Mailing address | 4580 W 173rd St Apt 115, Lawndale, CA 90260-3440 |