Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Acosta Medical Group, Inc

Organization Specialist · NPI 1639357114

Acosta Medical Group, Inc provides Specialist services in Glendale, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 W Eulalia St Ste 201
Glendale, CA 91204-2849 Not confirmed with CMS for 17 years — call before visiting
Phone: (818) 240-0601
Fax: (818) 240-0687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G72214 (CA)

Record details

NPI number1639357114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malena Wilson — Administrator · (818) 240-0601
NPI enumeratedFebruary 6, 2008
Last updated in NPPESAugust 13, 2009
Mailing address222 W Eulalia St, Ste. 201, Glendale, CA 91204-2849

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