Healthcare Provider Details

I. General information

NPI: 1881530814
Provider Name (Legal Business Name): CONCORD MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 MORELLO AVE STE 103
PLEASANT HILL CA
94523-1881
US

IV. Provider business mailing address

2255 MORELLO AVE STE 103
PLEASANT HILL CA
94523-1881
US

V. Phone/Fax

Practice location:
  • Phone: 925-326-9991
  • Fax:
Mailing address:
  • Phone: 925-326-9991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: YASMEEN ALBERT
Title or Position: BILLING MANAGER
Credential:
Phone: 925-326-9991