MEDICARE: ELENA COSIO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN503179	CA

General Provider Information

NPI Number	:	1982535514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA COSIO RN

Provider Business Mailing Address
First Line	:	345 PIONEER DR UNIT 104
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2741
Country	:	US
Telephone Number	:	818-731-3349
Fax Number	:	747-777-8813

Provider Business Practice Location Address
First Line	:	345 PIONEER DR UNIT 104
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2741
Country	:	US
Telephone Number	:	818-731-3349
Fax Number	:	747-777-8813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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