Acosta Medical Group, Inc.
NPI #1639357114 in Glendale, California
Provider Information
- NPI Number
- 1639357114
- Entity Type
- Organization
- Organization Name
- Acosta Medical Group, Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Aug 13, 2009
Practice Location
- Address
- 222 W EULALIA ST
- Address 2
- STE. 201
- City
- Glendale
- State
- California
- ZIP Code
- 91204-2849
- Phone
- (818) 240-0601
Authorized Official
- Name
- MALENA A WILSON
- Title
- ADMINISTRATOR
- Phone
- (818) 240-0601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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