Acosta, Ignacio

Acosta, Ignacio is an sole proprietor health care provider with primary practice located at 1808 Verdugo Blvd Suite 409, Glendale CA 91208-1487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Acosta, Ignacio can be contacted via phone (818) 790-8020.

Contact Information

Primary practice address
1808 Verdugo Blvd Suite 409 Glendale CA 91208-1487
Phone: (818) 790-8020
Fax: (818) 790-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A26640 California

Profile Details

NPI number 1932145513
LBN Legal business name Acosta, Ignacio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Jan 22nd, 2008 - 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 1932145513 NPPES
Other 0004033429 AETNA ID
Other 020011428 AETNA ID
Other 000767453 AETNA ID
Other 00A266400 AETNA ID
Other 300000306091 AETNA ID
Other 953131650 AETNA ID
MEDICAID 00A266401 AETNA ID

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