Search › California › 101Y00000X
Mario Acosta
NPI 1396307229 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2045 Skyline Dr
Lemon Grove, CA 91945 - Phone
- (619) 464-2273
- Organisation at this address
- Sungarden Terrace, L.P.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California