Costco Wholesale Corporation

Specialty details in registry · Westlake Village, CA

Call (818) 597-3904 Directions

At a glance

5700 Lindero Canyon Rd, Westlake Village, CA 91362

NPPES record updated May 21, 2025. Public records can lag behind changes at a practice.

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Practice location

5700 Lindero Canyon Rd
Westlake Village, CA 91362
Professional details: NPI, taxonomy & registry record
NPI1790895399
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0003X
Enumeration date
Aug 30, 2006
Record updated
May 21, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3336C0003X · Primary

License reported: PHY41682 CA

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

Practice location

5700 Lindero Canyon Rd
Westlake Village, CA 91362
Phone
(818) 597-3904
Fax
(818) 597-3912
Mailing address
PO BOX 34300

SEATTLE, WA 981241300
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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