| 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 (Licence: CA A92794) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |