Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagan Concierge Medical Group, Inc

Organization Psychiatry Physician · NPI 1083296446

Eagan Concierge Medical Group, Inc is a Psychiatry Physician in Los Angeles, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2658 Griffith Park Blvd Ste 305
Los Angeles, CA 90039-2520
Phone: (310) 702-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1083296446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Breanna Splain — Director Of Credentialing · (760) 835-6880
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateMarch 25, 2021
Mailing address2658 Griffith Park Blvd Ste 305, Los Angeles, CA 90039-2520

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