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OLGA ACOSTA MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1861404832

Individual Registrant:
 OLGA  ACOSTA MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9985 SIERRA AVE MOB-2, MODULE 2A FONTANA, CA 92335-6720 US
Tel: 888-750-0036  Fax: --

Contact information for business:
9985 SIERRA AVE MOB-2, MODULE 2A FONTANA, CA 92335-6720 US
Tel: 888-750-0036  Fax: --

Registration Information:
NPI: 1861404832
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA62193

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL PPIN #00A621930CA01




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