Individual
DR. JENNIFER ACOSTAMADIEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1665 DOMINICAN WAY STE 222, SANTA CRUZ, CA 95065-1515
(844) 387-5337
(866) 264-3890
Mailing address
1665 DOMINICAN WAY STE 222, SANTA CRUZ, CA 95065-1515
(844) 387-5337
(866) 264-3890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125071547
IL
207RP1001X
Pulmonary Disease Physician
A170693
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A170693
CA
Other
Enumeration date
07/12/2017
Last updated
10/09/2024
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