Individual
DR. LOUIS ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
434 S SAN VICENTE BLVD, SUITE 100, LOS ANGELES, CA 90048-4108
(310) 360-6780
(310) 360-6789
Mailing address
PO BOX 800817, SANTA CLARITA, CA 91380-0817
(661) 295-0859
(661) 295-0862
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A25772
CA
2083X0100X
Occupational Medicine Physician
A25772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A25772
STATE MEDICAL LICENSE#
CA
Enumeration date
10/27/2006
Last updated
11/29/2011
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