St. John's Urgent Care & Medical Corporation | |
1119 N Western Ave Ste G Los Angeles CA 90029-1070 | |
(323) 957-9300 | |
(323) 957-9315 |
Full Name | St. John's Urgent Care & Medical Corporation |
---|---|
Speciality | General Practice |
Location | 1119 N Western Ave Ste G, Los Angeles, California |
Authorized Official Name and Position | Mike M Rostami (PHYSICIAN/CEO) |
Authorized Official Contact | 3239579300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
St. John's Urgent Care & Medical Corporation 1119 N Western Ave Ste G Los Angeles CA 90029-1070 Ph: (323) 957-9300 | St. John's Urgent Care & Medical Corporation 1119 N Western Ave Ste G Los Angeles CA 90029-1070 Ph: (323) 957-9300 |
NPI Number | 1710073390 |
---|---|
Provider Enumeration Date | 10/04/2006 |
Last Update Date | 04/01/2020 |
Medicare PECOS PAC ID | 1254372584 |
---|---|
Medicare Enrollment ID | O20050517001061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710073390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mike M Rostami |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1720135726 PECOS PAC ID: 7012999121 Enrollment ID: I20050622001381 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |