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ST. JOHN'S URGENT CARE & MEDICAL CORPORATION NPI 1710073390


NPI Information

NPI: 1710073390
Provider Name: ST. JOHN'S URGENT CARE & MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1119 N WESTERN AVE STE G
LOS ANGELES, CA
ZIP 90029
Phone: (323) 957-9300
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ST. JOHN'S URGENT CARE & MEDICAL CORPORATION is a general practice in Los Angeles, CA. ST. JOHN'S URGENT CARE & MEDICAL CORPORATION NPI is 1710073390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1119 N WESTERN AVE STE G
LOS ANGELES, CA
ZIP 90029-070
Phone: (323) 957-9300
Fax: (323) 957-9315

The provider's authorized official is Mike M Rostami .
The authorized official title is Physician/ceo and has the following contact phone number (323) 957-9300.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.