| Costa Lifestlye Medicine | |
|
181 Avenida Vaquero, Ste D, San Clemente, CA 92672-3600 | |
| (949) 218-4750 | |
| (949) 276-7393 |
| Full Name | Costa Lifestlye Medicine |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 181 Avenida Vaquero, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053748533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC29364 (California) | Primary |
| Provider Name | Cynthia Costa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588680995 PECOS PAC ID: 9133420052 Enrollment ID: I20151218001422 |
| Mailing Address | Practice Location Address |
|---|---|
| Costa Lifestlye Medicine 181 Avenida Vaquero, Ste D, San Clemente, CA 92672-3600 Ph: (949) 218-4750 | Costa Lifestlye Medicine 181 Avenida Vaquero, Ste D, San Clemente, CA 92672-3600 Ph: (949) 218-4750 |
Sepideh Forstie Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Ste 100, San Clemente, CA 92673 Phone: 949-939-2928 | |
Dr. Cynthia Shoga, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 W Avenida Palizada, San Clemente, CA 92672 Phone: 949-492-3532 | |
Dr. Sepideh Forstie, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673 Phone: 949-939-2928 | |
Dr. Nancy Molina, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 647 Camino De Los Mares 226, San Clemente, CA 92673 Phone: 949-248-2826 Fax: 949-248-2815 | |
Wayne Greathouse, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Avenida Cabrillo, Ste C, San Clemente, CA 92672 Phone: 949-481-8282 Fax: 949-218-6303 | |
David Ahrens Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares, Suite 104, San Clemente, CA 92673 Phone: 714-240-1334 Fax: 949-240-4434 |