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 provides Psychiatry Physician services 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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