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Contact Information

JILLENE COSTA, DPM
2907 CHANTICLEER AVENUE
SANTA CRUZ, CA95065
 Phone: 831-477-2325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JILLENE COSTA · (Female)

NPI Number 1033378468
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/02/2008
Last updated 12/29/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E4785
Hospital affiliation(s)
  • DOMINICAN HOSPITAL - (Acute Care)
    1555 SOQUEL DRIVE
    SANTA CRUZ, CA 95065
  • SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ - (Acute Care)
    2900 CHANTICLEER AVENUE
    SANTA CRUZ, CA 95065
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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