Costco Wholesale Corporation

Specialty details in registry · Vallejo, CA

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At a glance

198 Plaza Dr, Vallejo, CA 94591-3702

NPPES record updated Jun 5, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

198 Plaza Dr
Vallejo, CA 94591-3702

Professional details: NPI, taxonomy & registry record

NPI1730579467

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 332H00000X
Enumeration date: Feb 3, 2015
Record updated: Jun 5, 2020

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332H00000X · Primary

License reported: D5732 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

198 Plaza Dr
Vallejo, CA 94591-3702

Phone: (707) 553-6401
Fax: (707) 553-6414

Mailing address

PO BOX 35005

SEATTLE, WA 981243405

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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