Organization
MIDTOWN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SHIGEMATSU MD (PRESIDENT)
(760) 941-7309
Entity
Organization
Contact information
Practice address
1267 N VIRGIL AVE, LOS ANGELES, CA 90029-2017
(323) 664-7628
Mailing address
17215 STUDEBAKER RD STE 320, CERRITOS, CA 90703-2522
(760) 941-7309
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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