Individual
DR. MIKE MANSOUR ROSTAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1119 N WESTERN AVE STE G, LOS ANGELES, CA 90029-1070
(323) 957-9300
(323) 957-9315
Mailing address
703 N RODEO DR, BEVERLY HILLS, CA 90210-3209
(323) 957-9300
(323) 957-9315
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A50108
CA
Other
Enumeration date
01/04/2007
Last updated
09/24/2018
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