| Azucena Acosta, | |
|
1000 Vale Terrace Dr, Vista, CA 92084-5218 | |
| (760) 631-5000 | |
| Not Available |
| Full Name | Azucena Acosta |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1000 Vale Terrace Dr, Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255937496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 98304 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Azucena Acosta, Po Box 621, 3774 Mission Ave, Oceanside, CA 92068-0621 Ph: () - | Azucena Acosta, 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000 |
Christine Dougherty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Andreanna King, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2135 Solara Ln, Vista, CA 92081 Phone: 909-306-6240 | |
Alejandra Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 W Vista Way, Vista, CA 92083 Phone: 760-227-1400 | |
Sandra Leon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 209-351-4048 | |
Donna Christine Gray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 760-599-2383 | |
Mr. Werner Spitzfaden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 760-599-2528 | |
Mr. Juan Pablo Zapatel, LCSW 78741 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |