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Individual

ANDREW CONCOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835-3831
(714) 626-8630
(714) 626-8659
Mailing address
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835-3831
(714) 626-8630
(714) 626-8659

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
A55793
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A55793
CA

Other

Enumeration date
07/26/2005
Last updated
04/22/2019
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