Acosta, Mia

Acosta, Mia is an individual health care provider with primary practice located at 1486 Huntington Ave Ste 100 , South San Francisco CA 94080-5971. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Acosta, Mia can be contacted via phone (209) 300-3611.

Contact Information

Primary practice address
1486 Huntington Ave Ste 100 South San Francisco CA 94080-5971
Phone: (209) 300-3611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X INTERN California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1841880242
LBN Legal business name Acosta, Mia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2021
Last updated Oct 5th, 2021 - about 3 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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