Individual provider · NPI-1

Dr. Ana Marie Acosta, MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number1265179774
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1265179774
Entity type
Individual (NPI-1)
Name
Dr. Ana Marie Acosta
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2022
Certification date
May 16, 2022
Last updated
May 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-4074

Mailing address

11234 Anderson Street
Gme Office Westerly Suite 'C'
Loma Linda, CA 92354-2804

Phone 909-558-4074

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