Individual provider · Type 1 NPI
Luis Concha
Critical Care Medicine Registered Nurse · Upland, CA
NPI number
1114717105
Active
Practice location
360 E 7th St Ste D
Upland, CA 91786-6701
Mailing address
612 W Nevada St
Ontario, CA 91762-4207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95360417 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
4 other providers at this address
About NPI 1114717105
Luis Concha's National Provider Identifier is 1114717105, issued on May 12, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Upland, CA. The record was last updated on May 12, 2025.