Acosta Medical Group, Inc. in Glendale - Specialist
Acosta Medical Group, Inc. - NPI 1639357114
Acosta Medical Group, Inc. is a Specialist in Glendale, California. Acosta Medical Group, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Acosta Medical Group, Inc. is 1639357114. The last update date is 2009-08-13.
Acosta Medical Group, Inc.'s current location address is 222 W Eulalia St, Glendale, California. You can contact this provider via phone number 8182400601 and fax number 8182400687. The mailing address for Acosta Medical Group, Inc. is 222 W Eulalia St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Acosta Medical Group, Inc. |
|---|---|
| Address | 222 W Eulalia St, Glendale, California |
| Phone Number | 8182400601 |
| Fax Number | 8182400687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Wilson A Malena |
| Telephone Number | 8182400601 |
NPI Number Detail
| NPI Number | 1639357114 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2009-08-13 |
Provider Mailing Address Detail
| Address | 222 W Eulalia St |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912042849 |
| Phone Number | 8182400601 |
| Fax Number | 8182400687 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G72214 |
|
Definition: 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. |
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What is the Acosta Medical Group, Inc.'s unique identification number?
The Acosta Medical Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1639357114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Acosta Medical Group, Inc.'s facilities are situated?
The facilities of Acosta Medical Group, Inc. are physically located at the following address: 222 W Eulalia St, Glendale, CA, 912042849.
What is Acosta Medical Group, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Acosta Medical Group, Inc.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Acosta Medical Group, Inc. receive its 1639357114 assignment from the Centers for Medicare & Medicaid Services?
The Acosta Medical Group, Inc. was assigned its 1639357114 by the Centers for Medicare & Medicaid Services on 2008-02-06.
When was the information regarding Acosta Medical Group, Inc. most recently updated?
The details pertaining to the Acosta Medical Group, Inc., including its address, specialty, and other relevant information, were last refreshed on 2009-08-13.