MEDICARE: ACES 2020, LLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1104788363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACES 2020, LLC

Provider Business Mailing Address
First Line	:	PO BOX 33568
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92163-3568
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

Provider Business Practice Location Address
First Line	:	4439 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-4139
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ELIZABETH SEFFEL
Credential	:
Telephone Number	:	714-616-0494

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	12/08/2025

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