Individual
MRS. LISA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4080
(805) 579-6010
Mailing address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4080
(805) 579-6010
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A89108
CA
Other
Enumeration date
03/09/2007
Last updated
05/01/2014
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