Most Relevant Information
Provider Data
| NPI Number: | 1003347808 |
| Provider Name: | JAIME ACOSTA BERRIOS |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A166142 |
Most Important Dates
| Enumeration Date: | 03/23/2017 |
| Last Updated: | 12/20/2022 |
Provider Practice Location
1745 N BROADWAY STE 101
SANTA MARIA
CA
934541940
Practice Location Phone/Fax
| Phone: | 8057393890 |
| Fax: | 8053477697 |
Provider Mailing Location
1745 N BROADWAY STE 101
SANTA MARIA
CA
934541940
Provider Mailing Phone/Fax
| Phone: | 8057393890 |
| Fax: | 8053477697 |
Suggested EMR
Family Practice EMR