Provider Demographics
NPI:1609457290
Name:CONCEPCION, SAY PEDRERA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SAY
Middle Name:PEDRERA
Last Name:CONCEPCION
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:FRANCIOSA
Other - Middle Name:P
Other - Last Name:CONCEPCION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:617 W MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-5718
Mailing Address - Country:US
Mailing Address - Phone:323-750-9715
Mailing Address - Fax:323-750-1532
Practice Address - Street 1:617 W MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-5718
Practice Address - Country:US
Practice Address - Phone:323-750-9715
Practice Address - Fax:323-750-1532
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty