Organization
CONCIERGE PHYSICIANS GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID AZIZOLLAHI M.D. (PRESIDENT)
(818) 674-7803
Entity
Organization
Contact information
Practice address
8920 WILSHIRE BLVD, SUITE 335, BEVERLY HILLS, CA 90211-2007
(310) 421-8835
(310) 421-8435
Mailing address
8920 WILSHIRE BLVD, SUITE 335, BEVERLY HILLS, CA 90211-2007
(310) 421-8835
(310) 421-8435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83353
CA
Other
Enumeration date
06/24/2012
Last updated
09/21/2012
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