Individual provider · NPI-1

Edmund Achacoso, R.N.

Registered Nurse, Psych/Mental Health, Adult · San Diego, CA

NPI number1255747549
StatusActive
Last updated in NPPESJul 8, 2014

Details

NPI
1255747549
Entity type
Individual (NPI-1)
Name
Edmund Achacoso
Credential
R.N.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2014
Last updated
Jul 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult756748CAYes

Practice location

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

Mailing address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

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