=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497624720
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOHO CONCIERGE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2025
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 653 N TOWN CENTER DR STE 506
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89144-0519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-546-6133
-----------------------------------------------------
Fax | 702-820-0584
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 653 N TOWN CENTER DR STE 506
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89144-0519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-582-5324
-----------------------------------------------------
Fax | 725-257-6932
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR/PROVIDER
-----------------------------------------------------
Name | DANIEL GOLDEN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 702-582-5324
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------