Most Relevant Information
Provider Data
| NPI Number: | 1003427527 |
| Provider Name: | MARTHA JUDITH ACOSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2020 |
| Last Updated: | 08/11/2020 |
Provider Practice Location
1200 WILSHIRE BLVD STE 210
LOS ANGELES
CA
900171931
Practice Location Phone/Fax
| Phone: | 2134817464 |
| Fax: |
Provider Mailing Location
1200 WILSHIRE BLVD STE 210
LOS ANGELES
CA
900171931
Provider Mailing Phone/Fax
| Phone: | 2134817464 |
| Fax: |