Provider Demographics
NPI:1386516557
Name:CONCORD MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:CONCORD MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YASMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-326-9991
Mailing Address - Street 1:2255 MORELLO AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1881
Mailing Address - Country:US
Mailing Address - Phone:925-326-9991
Mailing Address - Fax:925-350-7444
Practice Address - Street 1:2255 MORELLO AVE STE 103
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1881
Practice Address - Country:US
Practice Address - Phone:925-326-9991
Practice Address - Fax:925-350-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies