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
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
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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