JOHN STANTON COSTELLO

LA JOLLA, CA
NPI1184202806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  A185144)
Additional Taxonomies208D00000X General Practice
(Licence: CA  A185144)
208M00000X Hospitalist
(Licence: CA  A185144)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-01
Last Update Date2023-07-13
Business Address
Dr. JOHN STANTON COSTELLO MD
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-3200
Mailing Address
Dr. JOHN STANTON COSTELLO MD
10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 858-554-3200