Provider Demographics
NPI:1285933424
Name:ACOSTA, ANNA MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1760 TERMINO AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2157
Mailing Address - Country:US
Mailing Address - Phone:562-277-1011
Mailing Address - Fax:562-933-6988
Practice Address - Street 1:1760 TERMINO AVE STE 308
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804
Practice Address - Country:US
Practice Address - Phone:562-277-1011
Practice Address - Fax:562-933-6988
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2018-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA153308207XS0106X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty