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JAIME ACOSTA BERRIOS

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003347808

Individual Registrant:
 JAIME  ACOSTA BERRIOS 
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

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

Registration Information:
NPI: 1003347808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA166142

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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