CONCORDIA STAR MEDICAL LLC – Primary Care Clinic/Center, NPI 1508134792

CONCORDIA STAR MEDICAL LLC is a healthcare provider. based in Puyallup, Washington. specializing in Primary Care Clinic/Center. The organization holds a License No. MD00034362 (WA). The NPI Number for CONCORDIA STAR MEDICAL LLC is 1508134792

Main info

Organization
Name
CONCORDIA STAR MEDICAL LLC
NPI
1508134792
Phone
(253) 579-0067
Address
118 7TH AVE SW
Authorized Official
DR. LADIE CHRISTINE ARANA-DOMONDON OWNER - CEO M.D.
Enumeration Date
2 December 2011
Last Update Date
15 May 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for CONCORDIA STAR MEDICAL LLC

  • 118 7TH AVE SW

    SUITE A

    PUYALLUP, WA 983716803

    Phone: (253) 579-0067

    Fax: (253) 579-0068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98371)

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Reviews

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Frequently asked questions

Where can patients find CONCORDIA STAR MEDICAL LLC's NPI?
You can confirm CONCORDIA STAR MEDICAL LLC with NPI 1508134792; it appears in the national provider directory.
Is CONCORDIA STAR MEDICAL LLC active in the national directory?
CONCORDIA STAR MEDICAL LLC's public NPI profile is in an active state.
Can you summarize CONCORDIA STAR MEDICAL LLC's specialty in plain language?
Clinically, the directory lists CONCORDIA STAR MEDICAL LLC with Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Does CONCORDIA STAR MEDICAL LLC practice in Washington?
You will see Puyallup, Washington on file for CONCORDIA STAR MEDICAL LLC alongside any extra practice locations.
Is CONCORDIA STAR MEDICAL LLC a real provider?
This page reflects official NPPES data for NPI 1508134792. Always confirm identity and privileges with the practice and licensing boards.

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