Costa Acupuncture Prof Corp

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11005 Issued in CA

Legal business name

COSTA ACUPUNCTURE PROF CORP

Doing business as

Costa Acupuncture

Practice address

10200 Venice Blvd
Ste 109B
Culver City, CA 90232-3346

Phone

(310) 838-2817

NPI assigned

Oct 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael E Costa, L.AC.

Title

President

Phone

(310) 838-2817

Specialties & licenses 1

Addresses

Other names 1

• Costa Acupuncture Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1518219161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD",
            "address_2": "STE 109B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323346",
            "telephone_number": "310-838-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD",
            "address_2": "STE 109B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323346",
            "telephone_number": "310-838-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA ACUPUNCTURE PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-838-2817",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costa Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephane Correa Rowe
• Saul Cortazar Jr.
• Maria Veronica Cortez
• Natalie Cortez
• Cosmetique Surgical Group LLC
• Patricia Costales, LCSW
• Hector Cota
• Alexandria Cotie, RD
• Chrystal Council, LMFT
• Valerie Levette County

• Acupuncturist in Culver City, CA
• Providers in Culver City, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.