Individual
CHRISTOPHER FABIAN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8441
Mailing address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8441
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2024
Last updated
12/24/2025
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