CONCORDIA STAR MEDICAL LLC – Primary Care Clinic/Center, NPI 1790163491

CONCORDIA STAR MEDICAL LLC is a healthcare provider. based in Puyallup, Washington. specializing in Primary Care Clinic/Center. The NPI Number for CONCORDIA STAR MEDICAL LLC is 1790163491

Main info

Organization
Name
CONCORDIA STAR MEDICAL LLC
NPI
1790163491
Phone
(253) 579-0067
Address
118 7TH AVE SW
Authorized Official
DR. LADIE C ARANA-DOMONDON OWNER/CEO M.D.
Enumeration Date
13 May 2015
Last Update Date
13 May 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital 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

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

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Medicare Utilization (FFS)

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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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Frequently asked questions

What is CONCORDIA STAR MEDICAL LLC's NPI number?
CONCORDIA STAR MEDICAL LLC's NPI is 1790163491 — the number used across U.S. healthcare to identify this provider.
Is CONCORDIA STAR MEDICAL LLC shown as active in public data?
Registry records indicate CONCORDIA STAR MEDICAL LLC maintains an active NPI.
What clinical focus is listed for CONCORDIA STAR MEDICAL LLC?
At a glance, CONCORDIA STAR MEDICAL LLC is tied to Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Washington is CONCORDIA STAR MEDICAL LLC registered?
Use Puyallup, Washington as the headline location for CONCORDIA STAR MEDICAL LLC here.
Can I trust this NPI listing for CONCORDIA STAR MEDICAL LLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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