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
Phone: (818) 240-0601
Fax: (818) 840-0687
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548220551 | NPPES |
| California | MEDICAID | 00G722140 |
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