Acosta, Lessa Ileana

Acosta, Lessa Ileana is an sole proprietor health care provider with primary practice located at 30500 Arrastre Canyon Rd. , Acton CA 93510. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Acosta, Lessa Ileana can be contacted via phone (661) 223-8751.

Contact Information

Primary practice address
30500 Arrastre Canyon Rd. Acton CA 93510
Phone: (661) 223-8751
Fax: (661) 269-0427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 190001AN California

Profile Details

NPI number 1275003543
LBN Legal business name Acosta, Lessa Ileana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2018
Last updated Nov 29th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275003543 NPPES
California Other 1316397938 ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL

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