Provider Demographics
NPI:1780198663
Name:PRESTO CONCIERGE LLC
Entity Type:Organization
Organization Name:PRESTO CONCIERGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-532-3036
Mailing Address - Street 1:7044 CALINA LN
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-9134
Mailing Address - Country:US
Mailing Address - Phone:630-532-3036
Mailing Address - Fax:630-596-0856
Practice Address - Street 1:7044 CALINA LN
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-9134
Practice Address - Country:US
Practice Address - Phone:630-532-3036
Practice Address - Fax:630-596-0856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty