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Organization
MODERN CONCEPTS MEDICAL GROUP, INC
Active
Organization
MODERN CONCEPTS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO CALLEROS (DOCTOR)
(323) 728-6070
Entity
Organization
Contact information
Practice address
5836 E BEVERLY BLVD, LOS ANGELES, CA 90022-2824
(323) 726-0370
(323) 726-0239
Mailing address
5836 E BEVERLY BLVD, LOS ANGELES, CA 90022-2824
(323) 726-0370
(323) 726-0239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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