MEDICARE: CONCIERGE HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service
2	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1255095840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCIERGE HEALTH INC

Provider Business Mailing Address
First Line	:	10845 GRIFFITH PEAK DR # 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10845 GRIFFITH PEAK DR # 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1553
Country	:	US
Telephone Number	:	323-638-9578
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TROY SIMON
Credential	:
Telephone Number	:	323-638-9578

Provider Enumeration Date	:	10/29/2021
Last Update Date	:	05/27/2025

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Directions to “CONCIERGE HEALTH INC ” Practice Location

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