| Lloyd Costello Md A Professional Corporation | |
|
1902 Royalty Dr Suite 130 Pomona CA 91767-3030 | |
| (909) 865-5777 | |
| (909) 865-5781 |
| Full Name | Lloyd Costello Md A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1902 Royalty Dr, Pomona, California |
| Authorized Official Name and Position | Dalia Costello (VICE PRESIDENT) |
| Authorized Official Contact | 9098655777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd Costello Md A Professional Corporation 1902 Royalty Dr Suite 130 Pomona CA 91767-3030 Ph: (909) 865-5777 | Lloyd Costello Md A Professional Corporation 1902 Royalty Dr Suite 130 Pomona CA 91767-3030 Ph: (909) 865-5777 |
| NPI Number | 1679523468 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679523468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G53195 (California) | Primary |
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