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General NPI Number Information
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NPI Number | 1841101664
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Entity Type | Organization
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Legal Business Name | JP CONCIERGE PSYCHIATRY, PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2121 W MISSION RD STE 305
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City | ALHAMBRA
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State | CA
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Zip | 91803-1434
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Country | US
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Telephone | 909-257-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 909-257-7268
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIE PHAM
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Credential | MD
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Telephone | 909-257-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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