Individual provider · NPI-1

Dr. Cecil Acosta, DO

Family Medicine · Indio, CA

NPI number1396489647
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1396489647
Entity type
Individual (NPI-1)
Name
Dr. Cecil Acosta
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2022
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A21947CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577

Phone 760-541-5888 · Fax 760-391-5159

Mailing address

1150 N Palm Canyon Dr
Palm Springs, CA 92262-4402

Other practice locations

1150 N Palm Canyon Dr
Palm Springs, CA 92262-4402

Phone 760-561-7344

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