ACOSTA MEDICAL GROUP INC. NPI 1639357114

NPI Information

ACOSTA MEDICAL GROUP, INC. is a specialist in Glendale, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ACOSTA MEDICAL GROUP, INC. NPI is 1639357114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 W EULALIA ST
STE. 201
GLENDALE, CA
ZIP 91204-849
Phone: (818) 240-0601
Fax: (818) 240-0687

The provider's authorized official is Malena A Wilson .
The authorized official title is Administrator and has the following contact phone number (818) 240-0601.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 8/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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