| Beverly Hills Concierge Doctor, Inc | |
|
9400 Brighton Way #410 Beverly Hills CA 90210-4714 | |
| (310) 683-0180 | |
| Not Available |
| Full Name | Beverly Hills Concierge Doctor, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9400 Brighton Way, Beverly Hills, California |
| Authorized Official Name and Position | Ehsan Ali (CEO) |
| Authorized Official Contact | 3106830180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Concierge Doctor, Inc 9400 Brighton Way #410 Beverly Hills CA 90210-4714 Ph: (310) 683-0180 | Beverly Hills Concierge Doctor, Inc 9400 Brighton Way #410 Beverly Hills CA 90210-4714 Ph: (310) 683-0180 |
| NPI Number | 1073916193 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 9133444961 |
|---|---|
| Medicare Enrollment ID | O20150218002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073916193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A99416 (California) | Primary |
| Provider Name | Ehsan Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548451297 PECOS PAC ID: 7012086374 Enrollment ID: I20081118000231 |
| Provider Name | Simona Davoudpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265688311 PECOS PAC ID: 9830230259 Enrollment ID: I20100107000565 |
| Provider Name | Linda Barkodar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124288147 PECOS PAC ID: 6406040443 Enrollment ID: I20101103000664 |
| Provider Name | Daniel Benhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304189 PECOS PAC ID: 1254678907 Enrollment ID: I20230106001807 |
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