Cary Costa, D.P.T

NPI 1952690901 · on the registry since 2011 · sole proprietor

Practice

Address: 22821 Lake Forest Dr
Suite 115
Lake Forest, CA 92630
Phone: (949) 716-5050
Fax: (949) 482-2122
Organisation at this address: Baran & Costa Llc
Costa Rehab And Wellness Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Also registered as: 225100000X
2251C2600X
2251S0007X
2251E1200X
2251G0304X
2251P0200X
2251H1200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California