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

Modern Concepts Medical Group, Inc

Organization Family Medicine Physician · NPI 1457204380

Modern Concepts Medical Group, Inc is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

5836 E Beverly Blvd
Los Angeles, CA 90022-2824
Phone: (323) 726-0370
Fax: (323) 726-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X

Record details

NPI number1457204380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo Calleros — Doctor · (323) 728-6070
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address5836 E Beverly Blvd, Los Angeles, CA 90022-2824

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