Dr Juan M Acosta, MD | |
52565 Cesar Chavez St Ste 104, Coachella, CA 92236-1534 | |
(760) 398-0606 | |
Not Available |
Full Name | Dr Juan M Acosta |
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Gender | Male |
Speciality | General Practice |
Location | 52565 Cesar Chavez St Ste 104, Coachella, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467423772 | NPI | - | NPPES |
078584 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | A66595 (California) | Secondary |
208D00000X | General Practice | A66595 (California) | Primary |
Entity Name | Banner Physician Super Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
Entity Name | Stellar Family Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285408161 PECOS PAC ID: 4284084252 Enrollment ID: O20240103002408 |
Mailing Address | Practice Location Address |
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Dr Juan M Acosta, MD 52565 Cesar Chavez St Ste 104, Coachella, CA 92236-1534 Ph: (760) 398-0606 | Dr Juan M Acosta, MD 52565 Cesar Chavez St Ste 104, Coachella, CA 92236-1534 Ph: (760) 398-0606 |
Gustavo Adolfo Paredes, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 49201 Grapefruit Blvd Ste 3, Coachella, CA 92236 Phone: 760-514-2282 | |
Rogelio Drenning-manriquez, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 49617 Cesar Chavez St Ste B, Coachella, CA 92236 Phone: 760-398-3555 Fax: 760-482-1277 |