NPI | 1194058578 |
---|---|
Doing Business As | CONCIERGE MEDICINE/LA |
Entity Type | Organization |
Authorized Contact | RAPHAEL DARVISH President 310-826-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A92794) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |