Acosta, Olga
Acosta, Olga is an individual health care provider with primary practice located at 9985 Sierra Ave Mob-2, Module 2A, Fontana CA 92335-6720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acosta, Olga can be contacted via phone (888) 750-0036.Contact Information
Primary practice address
9985 Sierra Ave Mob-2, Module 2A
Fontana CA 92335-6720
Phone: (888) 750-0036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A62193 | California |
Profile Details
| NPI number | 1861404832 |
|---|---|
| LBN Legal business name | Acosta, Olga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861404832 | NPPES |
| California | Other | 00A621930 | MEDICAL PPIN # |
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