Individual
WALDO CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
1804 EMBARCADERO RD, STE 100, PALO ALTO, CA 94303-3341
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A40271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A402710
—
CA
01
—
11676755
CAQH NUMBER
NV
01
—
15435
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
07/11/2006
Last updated
12/14/2018
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