| Concierge Healthcare Partners | |
|
1400 S Grand Ave Ste 707 Los Angeles CA 90015-2881 | |
| (310) 929-6336 | |
| (877) 797-3623 |
| Full Name | Concierge Healthcare Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 S Grand Ave Ste 707, Los Angeles, California |
| Authorized Official Name and Position | Ersno Eromo (CEO/PRESIDENT) |
| Authorized Official Contact | 3107049880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Healthcare Partners 8447 Wilshire Blvd Ste 204 Beverly Hills CA 90211-3207 Ph: (310) 704-9880 | Concierge Healthcare Partners 1400 S Grand Ave Ste 707 Los Angeles CA 90015-2881 Ph: (310) 929-6336 |
| NPI Number | 1750842076 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 4789918442 |
|---|---|
| Medicare Enrollment ID | O20191212000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750842076 | NPI | - | NPPES |
| 03375844 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ersno Eromo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548498454 PECOS PAC ID: 1052436615 Enrollment ID: I20191120000598 |
| Provider Name | John Da Vinci Attenello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629456553 PECOS PAC ID: 9638594005 Enrollment ID: I20200731001813 |
| Provider Name | Jonathan Thomas Varghese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902301070 PECOS PAC ID: 9931445285 Enrollment ID: I20230830002610 |
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