Individual
MR. DOUGLAS LEA ACOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2650 STOCKTON RD, OCCUPATIONAL HEALTH UNIT, SAN DIEGO, CA 92106-6000
(619) 524-4921
(619) 524-6404
Mailing address
6272 LOLLY LN, SAN DIEGO, CA 92114-5625
(619) 262-1324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11667
CA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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