Organization
LA CONCORDIA PSYCHOTHERAPY AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH ALEJANDRA FERNANDEZ BS (OFFICE MANAGER)
(925) 849-4695
Entity
Organization
Contact information
Practice address
1070 CONCORD AVE STE 109, CONCORD, CA 94520-5608
(925) 849-5349
(925) 270-3382
Mailing address
1070 CONCORD AVE STE 109, CONCORD, CA 94520-5608
(925) 849-5349
(925) 270-3382
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
174H00000X
Health Educator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558558676
NPI
CA
01
—
1588997035
NPI
CA
01
—
1750641189
NPI
CA
Enumeration date
08/20/2020
Last updated
09/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us