Acosta, Jack

Acosta, Jack is an individual health care provider with primary practice located at 6621 E Pacific Coast Hwy Ste 120 , Long Beach CA 90803-4244. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Acosta, Jack can be contacted via phone (562) 414-5001.

Contact Information

Primary practice address
6621 E Pacific Coast Hwy Ste 120 Long Beach CA 90803-4244
Phone: (562) 414-5001
Fax: (562) 414-5002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 77975 California

Profile Details

NPI number 1528834702
LBN Legal business name Acosta, Jack
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2023
Last updated Nov 29th, 2023 - about 2 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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