ST. JOHN'S URGENT CARE & MEDICAL CORPORATION – NPI #1710073390
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ST. JOHN'S URGENT CARE & MEDICAL CORPORATION is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1710073390 to ST. JOHN'S URGENT CARE & MEDICAL CORPORATION on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Apr 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOHN'S URGENT CARE & MEDICAL CORPORATION below.

NPI Profile for
ST. JOHN'S URGENT CARE & MEDICAL CORPORATION

NPI Number
1710073390
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOHN'S URGENT CARE & MEDICAL CORPORATION
Primary location
1119 N WESTERN AVE STE G
LOS ANGELES, CA 90029-1070
Phone: (323) 957-9300 Fax: (323) 957-9315
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIKE ROSTAMI
PHYSICIAN/CEO
Phone: (323) 957-9300
Updated
Certification Date
Apr 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.