| Evolve Concierge | |
|
18356 Clark St Ste 101 Tarzana CA 91356-3502 | |
| (818) 978-7888 | |
| Not Available |
| Full Name | Evolve Concierge |
|---|---|
| Speciality | Internal Medicine |
| Location | 18356 Clark St Ste 101, Tarzana, California |
| Authorized Official Name and Position | Shahryar Yadegar (CEO) |
| Authorized Official Contact | 3233636910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Concierge 18399 Ventura Blvd Ste 245 Tarzana CA 91356-6403 Ph: (818) 609-7536 | Evolve Concierge 18356 Clark St Ste 101 Tarzana CA 91356-3502 Ph: (818) 978-7888 |
| NPI Number | 1578225140 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Medicare PECOS PAC ID | 9234523895 |
|---|---|
| Medicare Enrollment ID | O20220224000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578225140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Shahryar T Yadegar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174546493 PECOS PAC ID: 2961453774 Enrollment ID: I20050210000936 |
| Provider Name | Shahin Delkhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477749 PECOS PAC ID: 5698788156 Enrollment ID: I20060728000397 |
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