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SUSANA ACEVEDO MD
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1801971569
Individual Registrant: SUSANA ACEVEDO MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
901 NEVIN AVE RICHMOND, CA 94801-3143 US
Tel: 510-307-1500 Fax: --
Tel: 510-307-1500 Fax: --
Contact information for business:
1800 HARRISON ST FL 7 OAKLAND, CA 94612-3429 US
Tel: 510-625-6262 Fax: --
Tel: 510-625-6262 Fax: --
Registration Information:
NPI: 1801971569
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | A74960 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A749600 | CA | 05 |
