Organization
CONCERTO HEALTH PACE OF LOS ANGELES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BRYANT (SVP, GENERAL COUNSEL AND COMPLIANCE)
(949) 689-9526
Entity
Organization
Contact information
Practice address
3670 DEGNAN BOULEVARD, LOS ANGELES, CA 90018
(213) 328-9666
Mailing address
21750 HARDY OAK BLVD., STE. 104, PMB 72961, SAN ANTONIO, TX 78258-4946
(877) 597-1440
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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