Provider Demographics
NPI:1316003585
Name:CONCEPCION, ANH-LOAN LE (OD)
Entity Type:Individual
Prefix:DR
First Name:ANH-LOAN
Middle Name:LE
Last Name:CONCEPCION
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3204 BENEDIX WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6420
Mailing Address - Country:US
Mailing Address - Phone:916-691-2060
Mailing Address - Fax:916-728-2333
Practice Address - Street 1:7000 AUBURN BLVD
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-4342
Practice Address - Country:US
Practice Address - Phone:916-728-2030
Practice Address - Fax:916-728-2333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10537T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist