St. Johns Urgent Care & Medical Corporation

NPI #1023524980 in Los Angeles, California

Provider Information

NPI Number: 1023524980
Entity Type: Organization
Organization Name: St. Johns Urgent Care & Medical Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ST .JOHN URGENT CARE & MEDICAL CORPORATION
Primary Specialty: General Practice
Enumeration Date: Dec 14, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 1138 N WESTERN AVE
City: Los Angeles
State: California
ZIP Code: 90029-1702
Phone: (323) 957-9300

Authorized Official

Name: MIKE MANSOUR ROSTAMI, M.D
Title: MEDICAL DIRECTOR/ OWNER
Phone: (323) 957-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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