Individual provider · Type 1 NPI

Michael A. Costine, PA-C

Physician Assistant · Santa Monica, CA

NPI number 1851940571 Active

Practice location

2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805

Mailing address

7556 Hampton Ave Apt 305
West Hollywood, CA 90046-5544

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1851940571

Michael A. Costine, PA-C's National Provider Identifier is 1851940571, issued on Sep 5, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Monica, CA. The record was last updated on Feb 19, 2026.