Provider Demographics
NPI:1962001354
Name:CALIFORNIA CONCIERGE MEDICAL & WELLNESS, INC.
Entity Type:Organization
Organization Name:CALIFORNIA CONCIERGE MEDICAL & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:VELTMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-647-6420
Mailing Address - Street 1:8335 PRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2021
Mailing Address - Country:US
Mailing Address - Phone:619-647-6420
Mailing Address - Fax:619-415-8159
Practice Address - Street 1:8335 PRESTWICK DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2021
Practice Address - Country:US
Practice Address - Phone:619-647-6420
Practice Address - Fax:619-415-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-18
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty