Organization
LA CONCORDIA WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL E FERNANDEZ PSYD (CEO)
(925) 849-4761
Entity
Organization
Contact information
Practice address
1070 CONCORD AVE STE 105, CONCORD, CA 94520-5608
(925) 849-4695
(925) 270-3382
Mailing address
1070 CONCORD AVE STE 105, CONCORD, CA 94520-5608
(925) 849-4695
(925) 270-3382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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