National Provider Identifier Database

MICHAEL T ACOSTA, NP – NPI #1396329900
Family


Contact Information

MICHAEL T ACOSTA, NP
960 E GREEN ST STE L-11
PASADENA, CA91106-2429
Phone: 626-599-7600
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MICHAEL T ACOSTA

NPI Number 1396329900
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/10/2021
Last updated 05/28/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 95017301
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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