Justin Joseph D'Agostino, DO
Student in an Organized Health Care Education/Training Program in West Covina, CA. Individual provider (NPI-1).
NPI number1376165449
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1376165449
- Entity type
- Individual (NPI-1)
- Name
- Justin Joseph D'Agostino
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1115 S Sunset AveWest Covina, CA 91790-3940
Phone 626-813-7837
Mailing address
1115 S Sunset AveWest Covina, CA 91790-3940
Phone 626-813-7837
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All 52 Student in an Organized Health Care Education/Training Program providers in West Covina · All 3,175 providers in West Covina
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