Organization
CONCERTOCARE PACE OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PURI MD (PRESIDENT)
(949) 292-6258
Entity
Organization
Contact information
Practice address
3680 DEGNAN BLVD, LOS ANGELES, CA 90018
(949) 292-6258
Mailing address
PO BOX 801280, KANSAS CITY, MO 64180-1280
(949) 292-6258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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