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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAFAEL JOSE SEPULVEDA-ACOSTA, MD

Active Sole Proprietor

DR. RAFAEL JOSE SEPULVEDA-ACOSTA, MD is a Sports Medicine (IM) healthcare provider located in SONOMA, California. NPI 1558611459 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · SONOMA, CA

Registration Details

NPI Number
1558611459
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2012 (13.915337786961 yrs)
Last Updated
Nov 30, 2022
Licenses
A150301 (CA)
A150301 (CA)
A150301 (CA)
Sole Proprietor
Yes

Practice Information

Address
369 PERKINS ST
SONOMA, CA, 954766826
Browse CA providers · Browse ZIP 95476
Phone
7077766154
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Interventional Cardiology
Additional Specialty
Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.