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

Dr. Mike Mansour Rostami, MD

Individual provider General Practice Physician · NPI 1720135726

Dr. Mike Mansour Rostami, MD is a General Practice in Los Angeles, California. Qualified in 1981, 45 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1119 N Western Ave Ste G
Los Angeles, CA 90029-1070
Phone: (323) 957-9300
Fax: (323) 957-9315
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A50108 (CA)

Record details

NPI number1720135726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 24, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Los Angeles