Acosta, Gilbert John
Acosta, Gilbert John is an individual health care provider with primary practice located at 200 Mercy Circle , Camp Pendleton CA 92055-5191. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Acosta, Gilbert John can be contacted via phone (760) 719-3675.Contact Information
Primary practice address
200 Mercy Circle
Camp Pendleton CA 92055-5191
Phone: (760) 719-3675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4095 | Hawaii |
Profile Details
| NPI number | 1790244895 |
|---|---|
| LBN Legal business name | Acosta, Gilbert John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Mar 18th, 2019 - about 5 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 | 1790244895 | NPPES |
| California | MEDICAID | VAD0000 |
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