| Concierge Medline | |
|
8745 Glenoaks Blvd Sun Valley CA 91352-2802 | |
| (747) 466-2087 | |
| Not Available |
| Full Name | Concierge Medline |
|---|---|
| Speciality | Internal Medicine |
| Location | 8745 Glenoaks Blvd, Sun Valley, California |
| Authorized Official Name and Position | Tony M Ohn (OWNER) |
| Authorized Official Contact | 7474662087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Medline 8745 Glenoaks Blvd Sun Valley CA 91352-2802 Ph: (747) 466-2087 | Concierge Medline 8745 Glenoaks Blvd Sun Valley CA 91352-2802 Ph: (747) 466-2087 |
| NPI Number | 1801604285 |
|---|---|
| Provider Enumeration Date | 12/18/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 4789108986 |
|---|---|
| Medicare Enrollment ID | O20250409002449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801604285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Tony M Ohn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184676850 PECOS PAC ID: 4688779465 Enrollment ID: I20071018000823 |
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