Individual
CARLOS AMILCAR ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-7329
(213) 989-6100
Mailing address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-7329
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780183335
—
CA
Enumeration date
12/22/2021
Last updated
12/22/2021
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