NPI 1467045682

Concertohealth of Northern Virginia, LLC

Organisation PACE Provider Organization Alexandria, VA

Practice location

Address: 1901 N Beauregard St STE 110, Alexandria, VA 22311-1721
Phone: (313) 407-3807
Mailing address: 21750 Hardy Oak Blvd STE 104 Pmb 72961, San Antonio, TX 78258-4946

Authorised official

Name: Jose Alfredo Martinez
Title: Director
Phone: (949) 668-4902

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Virginia →

Registry record

NPI: 1467045682
Entity type: Organization
NPI issued: 18 Feb 2021
Record last updated: 18 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.