Search › California › 106H00000X
Blaze Cosko, MA
NPI 1205591930 · on the registry since 2021
Practice
- Address
- 11826 Palms Blvd
Los Angeles, CA 90066 - Phone
- (424) 744-0675
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California