Acevedo, Susana

Acevedo, Susana is an individual health care provider with primary practice located at 901 Nevin Ave , Richmond CA 94801-3143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acevedo, Susana can be contacted via phone (510) 307-1500.

Contact Information

Primary practice address
901 Nevin Ave Richmond CA 94801-3143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A74960 California

Profile Details

NPI number 1801971569
LBN Legal business name Acevedo, Susana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801971569 NPPES
California MEDICAID 00A749600

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