# ST. JOHN'S URGENT CARE & MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710073390
- **Authorized official:** DR. MIKE M ROSTAMI SR. M.D (PHYSICIAN/CEO)
- **Authorized official phone:** (323) 957-9300

## Contact information

- **Practice address:** 1119 N WESTERN AVE STE G, LOS ANGELES, CA 90029-1070
- **Practice address phone:** (323) 957-9300
- **Practice address fax:** (323) 957-9315
- **Mailing address:** 1119 N WESTERN AVE STE G, LOS ANGELES, CA 90029-1070
- **Mailing address phone:** (323) 957-9300
- **Mailing address fax:** (323) 957-9315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 04/01/2020