Michael Thomas Acosta, NP
Nurse Practitioner, Family in Pasadena, CA. Individual provider (NPI-1).
NPI number1396329900
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1396329900
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Acosta
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2021
- Certification date
- May 17, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95017301 | CA | Yes |
Practice location
960 E Green St Ste L-11Pasadena, CA 91106-2429
Phone 626-599-7600
Mailing address
960 E Green St Ste L-11Pasadena, CA 91106-2429
Phone 626-599-7600
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