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NPI Code Detail

MEDICARE: ROXANA ACEITUNO

MEDICARE: ROXANA ACEITUNO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse248120CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033990809
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA ACEITUNO
Provider Business Mailing Address
First Line : 4445 BURNS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-2702
Country : US
Telephone Number : 323-222-1440
Fax Number :
Provider Business Practice Location Address
First Line : 4445 BURNS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-2702
Country : US
Telephone Number : 323-222-1440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 03/04/2026

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Directions to “ ROXANA ACEITUNO ” Practice Location

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