EYSON P CONCEPCION

PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

Dr EYSON P CONCEPCION is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013.

Contact

PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

2001 SANTA MONICA BLVD
SUITE 280W
SANTA MONICA
CA
904042172

Tel: 3108297678

EYSON P CONCEPCION Information

Npi 1457758906
Pac Id 0840517579
Professional Enrollment Id I20150318000090
Last Name CONCEPCION
First Name EYSON
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Group Practice Pac Id 0840548624
Number Of Group Practice Members 164
Line 1 Street Address 2001 SANTA MONICA BLVD
Line 2 Street Address SUITE 280W
Marker Of Address Line 2 Suppression
City SANTA MONICA
State CA
Zip Code 904042172
Phone Number 3108297678
Hospital Affiliation Ccn 1 050290
Hospital Affiliation Lbn 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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