Provider Demographics
NPI:1578022505
Name:CONCIERGE HEALTHCARE PARTNERS INC.
Entity Type:Organization
Organization Name:CONCIERGE HEALTHCARE PARTNERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERSNO
Authorized Official - Middle Name:
Authorized Official - Last Name:EROMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-704-9880
Mailing Address - Street 1:8447 WILSHIRE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3207
Mailing Address - Country:US
Mailing Address - Phone:310-704-9880
Mailing Address - Fax:
Practice Address - Street 1:1513 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3070
Practice Address - Country:US
Practice Address - Phone:213-335-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty