| Concierge Physicians Group A Professional Corporation | |
|
8920 Wilshire Blvd Suite 335 Beverly Hills CA 90211-2007 | |
| (310) 421-8835 | |
| (310) 421-8435 |
| Full Name | Concierge Physicians Group A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8920 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Farid Azizollahi (PRESIDENT) |
| Authorized Official Contact | 8186747803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Physicians Group A Professional Corporation 8920 Wilshire Blvd Suite 335 Beverly Hills CA 90211-2007 Ph: (310) 421-8835 | Concierge Physicians Group A Professional Corporation 8920 Wilshire Blvd Suite 335 Beverly Hills CA 90211-2007 Ph: (310) 421-8835 |
| NPI Number | 1871856823 |
|---|---|
| Provider Enumeration Date | 06/24/2012 |
| Last Update Date | 09/21/2012 |
| Medicare PECOS PAC ID | 0941458756 |
|---|---|
| Medicare Enrollment ID | O20120920000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871856823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A83353 (California) | Primary |
| Provider Name | Farid Azizollahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649328519 PECOS PAC ID: 2163439050 Enrollment ID: I20060317000484 |
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Nancy P. Rahnama, M.d., A.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Rodeo Dr, Penthouse Number 1, Beverly Hills, CA 90210 Phone: 310-299-7373 Fax: 310-432-6647 | |
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