MEDICARE: CONCOURSE LANGUAGE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1205078359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCOURSE LANGUAGE SERVICES

Provider Business Mailing Address
First Line	:	7943 MOORCROFT AVE
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91304-4704
Country	:	US
Telephone Number	:	818-585-2993
Fax Number	:	818-937-6883

Provider Business Practice Location Address
First Line	:	7943 MOORCROFT AVE
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91304-4704
Country	:	US
Telephone Number	:	818-585-2993
Fax Number	:	818-937-6883

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SVETLANA ULEVA
Credential	:
Telephone Number	:	818-585-2993

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	04/02/2009

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Directions to “CONCOURSE LANGUAGE SERVICES ” Practice Location

Language	Start Address	Practice Location

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