Individual provider · Type 1 NPI

Costa Via

Peer Specialist · Lawndale, CA

NPI number 1497523682 Active

Practice location

4580 W 173rd St Apt 115
Lawndale, CA 90260-3440

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-HNGJYI (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

About NPI 1497523682

Costa Via's National Provider Identifier is 1497523682, issued on Dec 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawndale, CA. The record was last updated on Dec 18, 2023.