NPI

Lety Elizabeth Costa

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2006-10-14
Last updated
2025-08-01

Specialties

Licenses

License FL
ME158393
License CA
PA17517
License NE
680
License NE
110879
License CA
A187054

Location

Practice location
1405 California Ave
City
Dos Palos CA
Postal code
93620-2300
Phone
(209) 722-4842

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Dos Palos, CA. 30 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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