IndividualActive
Andrew Concoff, MD
NPI 1366442998 · Sports Medicine (Internal Medicine) Physician · Fullerton, CA
Provider details
- NPI number
- 1366442998
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A55793 (CA)
Practice location
2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3831
Phone: (714) 626-8630
Fax: (714) 626-8659
Mailing address
2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3831
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2019-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.