Organization
CONCORD MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON TYLER SMITH (PRESIDENT)
(925) 326-9991
Entity
Organization
Contact information
Practice address
2255 MORELLO AVE STE 103, PLEASANT HILL, CA 94523-1881
(925) 326-9991
(925) 350-7444
Mailing address
2255 MORELLO AVE STE 103, PLEASANT HILL, CA 94523-1881
(925) 326-9991
(925) 350-7444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
01/30/2026
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