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Organization
ST. JOHNS URGENT CARE & MEDICAL CORPORATION
Active
Organization
ST. JOHNS URGENT CARE & MEDICAL CORPORATION
Active
Parent organization
ST .JOHN URGENT CARE & MEDICAL CORPORATION
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST .JOHN URGENT CARE & MEDICAL CORPORATION
Authorized official
MIKE MANSOUR ROSTAMI M.D (MEDICAL DIRECTOR/ OWNER)
(323) 957-9300
Entity
Organization
Contact information
Practice address
1138 N WESTERN AVE, LOS ANGELES, CA 90029-1702
(323) 957-9300
(323) 957-9315
Mailing address
1138 NORTH WESTERN AVE, LOS ANGELES, CA 90029-1702
(323) 957-9300
(323) 957-9315
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A50108
CA
Other
Enumeration date
12/14/2017
Last updated
12/20/2017
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