Individual provider · Type 1 NPI

Jose Luis Condor

Specialist · Sacramento, CA

NPI number 1053167668 Active

Practice location

4610 X St
Sacramento, CA 95817-2200

Call (562) 489-6122 Map

Mailing address

3116 2nd Ave Apt C
Sacramento, CA 95817-2759

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053167668

Jose Luis Condor's National Provider Identifier is 1053167668, issued on Apr 25, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on May 21, 2025.