Individual provider · NPI-1

Carlos Amilcar Acevedo, LVN

Licensed Vocational Nurse · Los Angeles, CA

NPI number1952061582
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1952061582
Entity type
Individual (NPI-1)
Name
Carlos Amilcar Acevedo
Credential
LVN
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 22, 2021
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse227385CAYes

Practice location

1711 W Temple St
Los Angeles, CA 90026-7329

Phone 213-989-6100

Mailing address

1711 W Temple St
Los Angeles, CA 90026-7329

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