Cosa San Diego

LBN: Cosa San Diego
Cosa San Diego is an health care organization with primary practice located at 1112 Seacoast Dr Apt 11 , Imperial Beach CA 91932-3131. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Supports Brokerage. Agencies / Supports Brokerage is the primary health care specialty. Cosa San Diego can be contacted via phone (503) 318-5438, or through Cornwell, Thomas via phone (619) 871-4924.

Contact Information

Primary practice address
1112 Seacoast Dr Apt 11 Imperial Beach CA 91932-3131
Phone: (503) 318-5438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornwell, Thomas
Phone: (619) 871-4924

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1982511242
LBN Legal business name Cosa San Diego
DBA Doing business as
Authorized official Cornwell, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2026
Last updated Sep 3rd, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers