Healthcare Provider Details

I. General information

NPI: 1336077932
Provider Name (Legal Business Name): ACS ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 UNIVERSITY AVE STE H105
SAN DIEGO CA
92103-7344
US

IV. Provider business mailing address

12636 HIGH BLUFF DR STE 200
SAN DIEGO CA
92130-7003
US

V. Phone/Fax

Practice location:
  • Phone: 619-546-6008
  • Fax: 619-923-2059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ASBURY
Title or Position: MANAGER
Credential:
Phone: 760-746-5146