Acosta, Blanca-Ibeth
Acosta, Blanca-Ibeth is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Acosta, Blanca-Ibeth can be contacted via phone (818) 892-3423.Contact Information
Primary practice address
15305 Rayen St
North Hills CA 91343-5117
Phone: (818) 892-3423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1457872947 |
|---|---|
| LBN Legal business name | Acosta, Blanca-Ibeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2017 |
| Last updated | Aug 16th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457872947 | NPPES |
| California | MEDICAID | 95-2633765 |
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