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Contact Information

JAMIE M DE COSTER, PA-C
39000 BOB HOPE DR
HARRY AND DIANE RINKER BLG
RANCHO MIRAGE, CA92270
 Phone: 760-568-2684
 Fax: 760-341-5832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMIE M DE COSTER · (Female)

NPI Number 1750666210
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/17/2011
Last updated 03/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 52663
Hospital affiliation(s)
  • ST BERNARDINE MEDICAL CENTER - (Acute Care)
    2101 N WATERMAN AVE
    SAN BERNARDINO, CA 92404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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