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Organization
VIP MEDICAL CONCIERGE A MEDICAL CORPORATION
Active
Organization
VIP MEDICAL CONCIERGE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAKER NP (CFO)
(818) 395-3060
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY STE 200B, MARINA DEL REY, CA 90292-5425
(818) 813-2273
(818) 471-4919
Mailing address
1236 E HARVARD ST, GLENDALE, CA 91205-1412
(818) 813-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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