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Organization
DANIEL C. ACEVEDO, M.D. INC.
Active
Organization
DANIEL C. ACEVEDO, M.D. INC.
Active
Other names
ACE Orthopedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ACEVEDO MD (CEO)
(818) 632-0873
Entity
Organization
Contact information
Practice address
258 LOMBARD ST # 200, THOUSAND OAKS, CA 91360-5806
(805) 497-0817
Mailing address
23371 MULHOLLAND DR # 177, WOODLAND HILLS, CA 91364-2734
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A107668
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/23/2024
Last updated
07/23/2024
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