Individual provider · NPI-1

Daniel T. Acosta

Technician/Technologist, Ocularist · San Diego, CA

NPI number1144304544
StatusActive
Last updated in NPPESDec 6, 2007

Details

NPI
1144304544
Entity type
Individual (NPI-1)
Name
Daniel T. Acosta
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 24, 2006
Last updated
Dec 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Practice location

635 C St
Apt. 502
San Diego, CA 92101-5381

Phone 619-235-8950 · Fax 619-235-8959

Mailing address

635 C St
Apt. 502
San Diego, CA 92101-5381

Phone 619-235-8950 · Fax 619-235-8959

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