SearchCalifornia2080N0001X

Brandon Costello, D.O

NPI 1740556174 · on the registry since 2012 · sole proprietor

Practice

Address
34800 Bob Wilson Dr
San Diego, CA 92134
Phone
(619) 532-6474
Organisation at this address
Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,476

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
390200000X
171000000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-20

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