| Evolve Concierge | |
|
18356 Clark St Ste 101 Tarzana CA 91356-3502 | |
| (818) 978-7888 | |
| Not Available |
| Full Name | Evolve Concierge |
|---|---|
| Speciality | Internal Medicine |
| Location | 18356 Clark St Ste 101, Tarzana, California |
| Authorized Official Name and Position | Shahryar Yadegar (CEO) |
| Authorized Official Contact | 3233636910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Concierge 18399 Ventura Blvd Ste 245 Tarzana CA 91356-6403 Ph: (818) 609-7536 | Evolve Concierge 18356 Clark St Ste 101 Tarzana CA 91356-3502 Ph: (818) 978-7888 |
| NPI Number | 1578225140 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 9234523895 |
|---|---|
| Medicare Enrollment ID | O20220224000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578225140 | NPI | - | NPPES |
| C4788092 | Other | CA | CA SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahryar T Yadegar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174546493 PECOS PAC ID: 2961453774 Enrollment ID: I20050210000936 |
| Provider Name | Shahin Delkhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477749 PECOS PAC ID: 5698788156 Enrollment ID: I20060728000397 |
Tarzana Valley Vita Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18607 Ventura Blvd.,, Suite 206, Tarzana, CA 91356 Phone: 818-758-8282 Fax: 818-758-8286 | |
Neil D. Fagen,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, 204, Tarzana, CA 91356 Phone: 818-996-4796 Fax: 818-996-4793 | |
Terry E Stanger Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St Ste 202, Tarzana, CA 91356 Phone: 818-881-3435 Fax: 818-881-9021 | |
Tarzana Pediatric Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356 Phone: 818-345-7792 Fax: 818-345-9052 | |
Joel A. Sach, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356 Phone: 818-708-6070 Fax: 818-708-6095 | |
Comprehensive Infectious Disease Consultants A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356 Phone: 818-506-3384 Fax: 818-699-1278 | |
Tarzana Treatment Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3815 |