Provider Demographics
NPI:1629542006
Name:ACUNA, BEVERLY SAITO (RESPIRATOY THERAPIST)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:SAITO
Last Name:ACUNA
Suffix:
Gender:F
Credentials:RESPIRATOY THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 LAWRENCE EXPRESSWAY
Mailing Address - Street 2:PULMONARY DEPARTMENT #282 /M2405
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051
Mailing Address - Country:US
Mailing Address - Phone:408-851-2553
Mailing Address - Fax:
Practice Address - Street 1:710 LAWRENCE EXPRESSWAY
Practice Address - Street 2:PULMONARY DEPARTMENT #282 /M2405
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051
Practice Address - Country:US
Practice Address - Phone:408-851-2553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34872278P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE0669163OtherDRIVER'S LICENSE
CA12283708OtherKAISER PERMANENTE