Frank X Acosta, PHD
Individual provider Active NPI Psychologist · Los Angeles, CA
NPI 1750313490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750313490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY5097 (CA)
- Practice address
- 1520 San Pablo St
Los Angeles, CA 90033-5310 - Phone
- (323) 442-5955
- Fax
- (323) 442-5963
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5097 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5097 | CA | Yes |
Addresses
Primary practice location
1520 San Pablo St
Los Angeles, CA 90033-5310
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY050970 | Medicaid | CA | |
| PSY5097 | Other | CA | STATE LICENSE |
Other providers in Los Angeles, CA
- Diana Angie Acosta
- Ehulice de Jesus Acosta
- Enrique Acosta
- Esmeralda Acosta
- Felicitas Acosta
- Gerardo Acosta
- Jessica G Acosta
- Jillian Marie Acosta
- Karem Nayeli Acosta
- Karen Acosta
All providers in Los Angeles, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.