| Concert Health Care Inc | |
|
1727 Crenshaw Blvd Torrance CA 90501 | |
| (310) 373-7855 | |
| (424) 704-2493 |
| Full Name | Concert Health Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1727 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Richard Montero Butlig (PRESIDENT) |
| Authorized Official Contact | 3103737855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concert Health Care Inc 1727 Crenshaw Blvd Torrance CA 90501 Ph: (310) 373-7855 | Concert Health Care Inc 1727 Crenshaw Blvd Torrance CA 90501 Ph: (310) 373-7855 |
| NPI Number | 1265859805 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 04/16/2021 |
| Medicare PECOS PAC ID | 6002033925 |
|---|---|
| Medicare Enrollment ID | O20140815001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265859805 | NPI | - | NPPES |
| A77702 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A77702 (California) | Primary |
| 208M00000X | Hospitalist | A77702 (California) | Secondary |
| Provider Name | Alexander J Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710091723 PECOS PAC ID: 6507850187 Enrollment ID: I20040414001468 |
| Provider Name | Richard M Butlig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912968447 PECOS PAC ID: 9638147093 Enrollment ID: I20040922001258 |
| Provider Name | William Weitin Tarng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376545723 PECOS PAC ID: 4486551751 Enrollment ID: I20050225000834 |
| Provider Name | Asad U Khaja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679612360 PECOS PAC ID: 6608976766 Enrollment ID: I20070703000407 |
| Provider Name | Taraneh Tehrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689731648 PECOS PAC ID: 2264587534 Enrollment ID: I20121231000007 |
| Provider Name | Mahdi Yazdany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316109911 PECOS PAC ID: 0345419909 Enrollment ID: I20130820000545 |
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