St. John'S Urgent Care & Medical Corporation
General Practice in Los Angeles, CA. Organization (NPI-2).
NPI number1710073390
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1710073390
- Entity type
- Organization (NPI-2)
- Legal business name
- St. John'S Urgent Care & Medical Corporation
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1119 N Western Ave Ste GLos Angeles, CA 90029-1070
Phone 323-957-9300 · Fax 323-957-9315
Mailing address
1119 N Western Ave Ste GLos Angeles, CA 90029-1070
Phone 323-957-9300 · Fax 323-957-9315
Authorized official
Mike M Rostami
Physician/Ceo
3239579300
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