ACOSTA MEDICAL GROUP, INC.

GLENDALE, CA
NPI1639357114
Entity TypeOrganization
Authorized ContactMALENA A WILSON
Administrator
818-240-0601
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  G72214)
Enumeration Date2008-02-06
Last Update Date2009-08-13
Business Address
ACOSTA MEDICAL GROUP, INC.
222 W EULALIA ST STE. 201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601
Mailing Address
ACOSTA MEDICAL GROUP, INC.
222 W EULALIA ST STE. 201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601