Roman Emmanuel Acebedo
Nurse Practitioner, Gerontology in Carson, CA. Individual provider (NPI-1).
NPI number1649102609
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1649102609
- Entity type
- Individual (NPI-1)
- Name
- Roman Emmanuel Acebedo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 95039815 | CA | Yes |
Practice location
20920 Chico StCarson, CA 90746-3603
Phone 424-444-5097 · Fax 833-973-3630
Mailing address
20920 Chico StCarson, CA 90746-3603
Phone 424-444-5097
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