Acosta, Juan M.

Acosta, Juan M. is an individual health care provider with primary practice located at 52565 Cesar Chavez St Ste 104 , Coachella CA 92236-1534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Acosta, Juan M. can be contacted via phone (760) 398-0606.

Contact Information

Primary practice address
52565 Cesar Chavez St Ste 104 Coachella CA 92236-1534
Phone: (760) 398-0606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A66595 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A66595 California

Profile Details

NPI number 1467423772
LBN Legal business name Acosta, Juan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 8th, 2024 - about 9 months 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 1467423772 NPPES
Arizona MEDICAID 078584

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