NPI 1043824212

Midtown Medical Corporation

Organisation Health Maintenance Organization Los Angeles, CA

Practice location

Address: 1267 N Virgil Ave, Los Angeles, CA 90029-2017
Phone: (323) 664-7628
Mailing address: 17215 Studebaker Rd STE 320, Cerritos, CA 90703-2522

Authorised official

Name: Ronald Shigematsu
Title: President
Phone: (760) 941-7309

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1043824212
Entity type: Organization
NPI issued: 3 Sep 2020
Record last updated: 3 Sep 2020

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.