| NPI | 1053748533 |
|---|---|
| Doing Business As | COSTA LIFESTLYE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JAYNE ELIZABETH COSTA Chiroprator/Owner 949-637-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29364) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2016-09-07 |