Provider Demographics
NPI:1093572943
Name:COSTAR CORPORATION
Entity Type:Organization
Organization Name:COSTAR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:DUFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-741-0602
Mailing Address - Street 1:38222 VIA LUSSO
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-0226
Mailing Address - Country:US
Mailing Address - Phone:310-741-0602
Mailing Address - Fax:
Practice Address - Street 1:38222 VIA LUSSO
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-0226
Practice Address - Country:US
Practice Address - Phone:310-741-0602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty