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CHRISTOPHER COSTANZO M D INC NPI 1114199163


NPI Information

NPI: 1114199163
Provider Name: CHRISTOPHER COSTANZO M D INC
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
2190 LYNN RD
SUITE 380
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 373-9919
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CHRISTOPHER COSTANZO M D INC is a surgery of the hand plastic surgery in Thousand Oaks, CA. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. CHRISTOPHER COSTANZO M D INC NPI is 1114199163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2190 LYNN RD
SUITE 380
THOUSAND OAKS, CA
ZIP 91360-980
Phone: (805) 373-9919
Fax: (805) 379-3495

The provider's authorized official is Christopher Costanzo .
The authorized official title is President and has the following contact phone number (805) 373-9919.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 7/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the HandG46454CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B57862MEDICARE UPINCALIFORNIA
2G46454OTHERCALIFORNIAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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