# CONCIERGE HMO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689302309
- **Authorized official:** DR. MICHAEL TEHRANI MD (CEO)
- **Authorized official phone:** (562) 498-2481

## Contact information

- **Practice address:** 1703 TERMINO AVE STE 108, LONG BEACH, CA 90804-2126
- **Practice address phone:** (562) 498-2481
- **Practice address fax:** (562) 494-6651
- **Mailing address:** 920 WESTHOLME AVE, LOS ANGELES, CA 90024-3211
- **Mailing address phone:** (310) 975-9690
- **Mailing address fax:** (562) 494-6651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 08/10/2022
