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Christopher Fabian Acosta

Peer Specialist in Indio, CA. Individual provider (NPI-1).

NPI number1306603410
StatusActive
Last updated in NPPESDec 24, 2025

Details

NPI
1306603410
Entity type
Individual (NPI-1)
Name
Christopher Fabian Acosta
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 5, 2024
Certification date
Dec 24, 2025
Last updated
Dec 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
172V00000X Community Health Worker––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

47825 Oasis St
Indio, CA 92201-6950

Phone 760-863-8441

Mailing address

47825 Oasis St
Indio, CA 92201-6950

Phone 760-863-8441

Other practice locations

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8660

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