NPI 1023524980
St. Johns Urgent Care & Medical Corporation
Practice location
- Address
- 1138 N Western Ave, Los Angeles, CA 90029-1702
- Phone
- (323) 957-9300
- Fax
- (323) 957-9315
- Mailing address
- 1138 North Western Ave, Los Angeles, CA 90029-1702
Authorised official
- Name
- Mike Mansour Rostami
- Title
- Medical Director/ Owner
- Phone
- (323) 957-9300
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1023524980
- Entity type
- Organization
- NPI issued
- 14 Dec 2017
- Record last updated
- 20 Dec 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.