Individual
GINA MARIE CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13223 BLACK MOUNTAIN RD # 1358, SAN DIEGO, CA 92129-2698
(619) 208-2004
Mailing address
13223 BLACK MOUNTAIN RD # 1358, SAN DIEGO, CA 92129-2698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10720
CA
Other
Enumeration date
01/16/2007
Last updated
03/11/2026
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