MEDICARE: PAULO CONCEICAO

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	225700000X	Massage Therapist	59333	CA

General Provider Information

NPI Number	:	1316548456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULO CONCEICAO

Provider Business Mailing Address
First Line	:	6559 COMLY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-5401
Country	:	US
Telephone Number	:	574-276-9728
Fax Number	:

Provider Business Practice Location Address
First Line	:	6559 COMLY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-5401
Country	:	US
Telephone Number	:	574-276-9728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	11/05/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1528055787 — POINT LOMA CONVALESCENT HOSPITAL
Practice Location Address:

3202 DUKE ST
SAN DIEGO, CA
92110-5401

Practice Phone: 619-224-4141
Practice Fax: 619-224-1328

1790756682 — DR. AHMIK LYTTON JONES
Practice Location Address:

2424 RENDOVA RD
SAN DIEGO, CA
92155-5401

Practice Phone: 619-437-5612
Practice Fax:

1427029933 — DR. ROBERT EDWARD OBRECHT PH.D., ABPP-CL
Practice Location Address:

2424 RENDOVA RD , BUILDING 156
SAN DIEGO, CA
92155-5401

Practice Phone: 619-437-5612
Practice Fax:

1275736704 — DR. TINA MARIE MARIN PH.D.
Practice Location Address:

46141 MIRAMAR WAY , SUITE 1
SAN DIEGO, CA
92145-5401

Practice Phone: 858-577-7048
Practice Fax: 858-577-7154

1982808283 — JEANMARIE MANGINDIN LICSW
Practice Location Address:

46141 MIRAMAR WAY STE 1
SAN DIEGO, CA
92145-5401

Practice Phone: 858-577-7079
Practice Fax:

Directions to “ PAULO CONCEICAO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.