Provider Demographics
NPI:1629144373
Name:ACERO, GUILLERMO (MD)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:
Last Name:ACERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25420
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-2277
Mailing Address - Country:US
Mailing Address - Phone:805-650-5910
Mailing Address - Fax:805-650-5972
Practice Address - Street 1:1306 MARICOPA HIGHWAY
Practice Address - Street 2:OJAI VALLEY COMMUNITY HOSPITAL
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023
Practice Address - Country:US
Practice Address - Phone:805-646-1401
Practice Address - Fax:805-646-0431
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26498207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA26498OtherMEDICAL BOARD OF CA
CA00A264981Medicaid
AA6516100OtherDRUG ENFORCEMENT ADMIN
CA00A264981Medicaid
A24859Medicare UPIN