# DANIEL C. ACEVEDO, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACE Orthopedic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104654912
- **Authorized official:** DR. DANIEL ACEVEDO MD (CEO)
- **Authorized official phone:** (818) 632-0873

## Contact information

- **Practice address:** 258 LOMBARD ST \# 200, THOUSAND OAKS, CA 91360-5806
- **Practice address phone:** (805) 497-0817
- **Mailing address:** 23371 MULHOLLAND DR \# 177, WOODLAND HILLS, CA 91364-2734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A107668 | MEDICAL BOARD OF CALIFORNIA | CA |