Acosta, Luis

Acosta, Luis is an individual health care provider with primary practice located at 222 W Eulalia St , Glendale CA 91204-2851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Acosta, Luis can be contacted via phone (818) 240-0601.

Contact Information

Primary practice address
222 W Eulalia St Glendale CA 91204-2851
Fax: (818) 840-0687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G72214 California

Profile Details

NPI number 1548220551
LBN Legal business name Acosta, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 19th, 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 1548220551 NPPES
California MEDICAID 00G722140

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