MEDICARE: MRS. SANDRA V ACOSTA

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ICAN779	OTHER	CA	DMH STAFF CODE

General Provider Information

NPI Number	:	1700073442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA V ACOSTA

Provider Business Mailing Address
First Line	:	11001 VALLEY MALL STE 300
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2620
Country	:	US
Telephone Number	:	626-442-0710
Fax Number	:	626-442-8381

Provider Business Practice Location Address
First Line	:	11001 VALLEY MALL STE 300
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2620
Country	:	US
Telephone Number	:	626-442-0710
Fax Number	:	626-442-8381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	09/26/2007

Similar Medicare Providers

1447086814 — CLEAR BRAIN CORP
Practice Location Address:

11001 MAIN ST STE 268
EL MONTE, CA
91731-2620

Practice Phone: 626-803-2982
Practice Fax: 626-270-4230

1093762593 — EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INC
Practice Location Address:

11001 MAIN ST STE 301
EL MONTE, CA
91731-2620

Practice Phone: 626-443-4300
Practice Fax: 626-433-9646

1891901385 — ENTRE AMIGOS HUMAN SERVICES, LLC
Practice Location Address:

11001 VALLEY MALL STE 204
EL MONTE, CA
91731-2620

Practice Phone: 626-582-8912
Practice Fax: 626-582-8895

1245446236 — MR. EDUARDO LUIS LOPEZ-NAVARRO MFT INTERN
Practice Location Address:

11001 VALLEY MALL STE 204
EL MONTE, CA
91731-2620

Practice Phone: 626-582-8912
Practice Fax: 626-582-8895

1245425578 — MISS MARIA DE LOURDEZ SANCHEZ
Practice Location Address:

11001 VALLEY MALL , SUITE 300
EL MONTE, CA
91731-2620

Practice Phone: 626-442-0710
Practice Fax: 626-442-8381

1508055971 — PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Practice Location Address:

11001 E. VALLEY MALL , SUITE 300
EL MONTE, CA
91731-2620

Practice Phone: 626-442-0710
Practice Fax: 626-442-8381

Directions to “ MRS. SANDRA V ACOSTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.