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Organization
NEJAT ROSTAMI MEDICAL GROUP INC
Active
Organization
NEJAT ROSTAMI MEDICAL GROUP INC
Active
Other names
SAN JUDAS MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEJAT ROSTAMI M.D. (MEDICAL DIRECTOR)
(213) 484-0000
Entity
Organization
Contact information
Practice address
2972 WILSHIRE BLVD, LOS ANGELES, CA 90010-1101
(213) 484-0000
(213) 387-0011
Mailing address
2972 WILSHIRE BLVD, LOS ANGELES, CA 90010-1101
(213) 484-0000
(213) 387-0011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055560
—
CA
Enumeration date
01/31/2007
Last updated
10/28/2015
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