Provider Demographics
NPI:1770272957
Name:COSTAR HEALTH, P.C.
Entity type:Organization
Organization Name:COSTAR HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BALDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-996-7055
Mailing Address - Street 1:24212 VALENCIA BLVD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5391
Mailing Address - Country:US
Mailing Address - Phone:866-996-7055
Mailing Address - Fax:866-695-0408
Practice Address - Street 1:24212 VALENCIA BLVD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5391
Practice Address - Country:US
Practice Address - Phone:866-996-7055
Practice Address - Fax:866-695-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization