Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Acosta Medical Group, Inc

Organization Specialist · NPI 1639357114

Acosta Medical Group, Inc is a Specialist 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
Phone: (818) 240-0601
Fax: (818) 240-0687
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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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