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JAIME ACOSTA BERRIOS
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1003347808
Individual Registrant: JAIME ACOSTA BERRIOS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
117 W BUNNY AVE SANTA MARIA, CA 93458-2805 US
Tel: 805-739-3890 Fax: 805-347-7697
Tel: 805-739-3890 Fax: 805-347-7697
Contact information for business:
1400 E CHURCH STREET MEDICAL STAFF OFFICE SANTA MARIA, CA 93454-3120 US
Tel: 805-739-3114 Fax: 805-739-3502
Tel: 805-739-3114 Fax: 805-739-3502
Registration Information:
NPI: 1003347808
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A166142 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
