Individual
FRANK X ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5955
(323) 442-5963
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY050970
—
CA
01
—
PSY5097
STATE LICENSE
CA
Enumeration date
07/06/2006
Last updated
07/08/2007
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