Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St John's Urgent Care & Medical Corporation

Organization General Practice Physician · NPI 1710073390

St John's Urgent Care & Medical Corporation is a General Practice Physician in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1119 N Western Ave Ste G
Los Angeles, CA 90029-1070
Phone: (323) 957-9300
Fax: (323) 957-9315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1710073390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Rostami — Physician/Ceo · (323) 957-9300
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address1119 N Western Ave Ste G, Los Angeles, CA 90029-1070

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