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NPI Code Detail

MEDICARE: SOHO CONCIERGE PLLC

MEDICARE: SOHO CONCIERGE PLLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1497624720
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOHO CONCIERGE PLLC
Provider Business Mailing Address
First Line : 653 N TOWN CENTER DR STE 506
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0519
Country : US
Telephone Number : 702-582-7324
Fax Number : 725-257-6932
Provider Business Practice Location Address
First Line : 653 N TOWN CENTER DR STE 506
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0519
Country : US
Telephone Number : 702-546-6133
Fax Number : 702-820-0584
Authorized Official
Title or Position : DOCTOR/PROVIDER
Name : DANIEL GOLDEN
Credential : MD
Telephone Number : 702-582-5324
Provider Enumeration Date : 11/04/2025
Last Update Date : 01/23/2026

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Directions to “SOHO CONCIERGE PLLC ” Practice Location

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