Lloyd Costello MD a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G53195 Issued in CA

Legal business name

LLOYD COSTELLO MD A PROFESSIONAL CORPORATION

Practice address

1902 Royalty Dr
Suite 130
Pomona, CA 91767-3030

Phone

(909) 865-5777

Fax

(909) 865-5781

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dalia Costello

Title

Vice President

Phone

(909) 865-5777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1679523468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "SUITE 130",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-865-5777",
            "fax_number": "909-865-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "SUITE 130",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-865-5777",
            "fax_number": "909-865-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD COSTELLO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-865-5777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Individuate Vibrate Evolve and Expand - Live
• Dinah Lizarraga
• Becky Lynn Lizasuain, RN
• Scott Andrew Lizotte
• Lizbeth Llamas, BT
• Angelina Lo
• Grace Lo
• Nicole E Lobato, PH.D.
• Joyce Locke
• Mariko Locke

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.