Provider Demographics
NPI:1538897590
Name:CALIFORNIA CONCIERGE PHYSICIANS PC
Entity type:Organization
Organization Name:CALIFORNIA CONCIERGE PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSOUMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-287-1120
Mailing Address - Street 1:681 ORANGEBURGH RD
Mailing Address - Street 2:
Mailing Address - City:RIVER VALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6404
Mailing Address - Country:US
Mailing Address - Phone:516-287-1120
Mailing Address - Fax:888-411-5515
Practice Address - Street 1:11333 MOORPARK STREET
Practice Address - Street 2:SUITE 16
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91602
Practice Address - Country:US
Practice Address - Phone:833-999-0090
Practice Address - Fax:800-411-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty