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Individual

EYSON CONCEPCION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 248-8300
(310) 248-8333

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000495
CA
363LA2100X
Acute Care Nurse Practitioner
95000495
CA

Other

Enumeration date
11/28/2014
Last updated
02/13/2024
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