Individual provider · NPI-1

Noel L Concepcion, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Oakland, CA

NPI number1942243308
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1942243308
Entity type
Individual (NPI-1)
Name
Noel L Concepcion
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2006
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)G56704CAYes
2086S0129X G56704CA
2086S0129X M-1488GU
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)M-1488GU

Practice location

6466 Bayview Dr
Oakland, CA 94605-3134

Phone 209-277-6792 · Fax 209-844-0334

Mailing address

Po Box 576649
Modesto, CA 95357-6649

Phone 209-573-3333 · Fax 209-844-0334

Other practice locations

1541 Florida Ave
Suite 103
Modesto, CA 95350

Phone 209-577-3388 · Fax 209-523-0764

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