Individual
LINDA GAIL ACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3661 TORRANCE BLVD, TORRANCE, CA 90503-4812
(310) 543-1636
Mailing address
3661 TORRANCE BLVD, TORRANCE, CA 90503-4812
(310) 543-1636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20765
MEDICAL LICENSE
CA
Enumeration date
12/07/2007
Last updated
12/07/2007
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