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Dr. Isidro Acosta Cardeno, MD
Military Health Care Provider in Represa, California
NPI 1689766081

Isidro Acosta Cardeno is a Military Health Care Provider based in Orangevale, CA. Isidro Acosta Cardeno practices in Represa, CA and has the professional credentials of MD. The NPI Number for Isidro Acosta Cardeno is 1689766081 and holds a License No. A34909 (California).

The current practice location address for Isidro Acosta Cardeno is 300 Prison Rd, Represa, CA and can be reached out via phone at 916-985-2561 and via fax at 916-351-3001.

Location: 300 Prison Rd, Represa, CA, 95662-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689766081
Provider Name
Isidro Acosta Cardeno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Prison Rd, Represa, CA, 95662-2154
Phone Number
916-985-2561
Fax Number
916-351-3001
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
300 Prison Rd
City
Represa
State
California
Zip
95671-3001
Phone Number
916-985-2561
Fax Number
916-351-3001
person
Provider Business Mailing Address Details
Address
300 Prison Rd
City
Represa
State
California
Zip
95671-3001
Phone Number
916-985-2561
Fax Number
916-351-3001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
A34909 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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