MEDICARE: PRESTIGE BROADWAY MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1134075203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTIGE BROADWAY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	2926 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-2601
Country	:	US
Telephone Number	:	213-433-3137
Fax Number	:	213-433-3136

Provider Business Practice Location Address
First Line	:	2926 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-2601
Country	:	US
Telephone Number	:	213-433-3137
Fax Number	:	213-433-3136

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MANEESH SINGHAL
Credential	:	MD
Telephone Number	:	213-433-3137

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1356469381 — NORTH BROADWAY MEDICAL CLINIC INC
Practice Location Address:

2926 N BROADWAY
LOS ANGELES, CA
90031-2601

Practice Phone: 323-221-1131
Practice Fax: 323-221-3197

1245189851 — SIGNATURE MD MEDICAL CLINIC
Practice Location Address:

2926 N BROADWAY
LOS ANGELES, CA
90031-2601

Practice Phone: 323-221-1131
Practice Fax:

1114012887 — DR. RITA SINGHAL MD, MPH
Practice Location Address:

241 N FIGUEROA ST
LOS ANGELES, CA
90012-2601

Practice Phone: 213-497-1728
Practice Fax:

1699857565 — DR. SEIRA KURIAN MD, MPH
Practice Location Address:

241 N FIGUEROA ST
LOS ANGELES, CA
90012-2601

Practice Phone: 213-497-1728
Practice Fax:

1659430536 — MR. YOUNG IHL CHO AC
Practice Location Address:

329 N WESTERN AVE
LOS ANGELES, CA
90004-2601

Practice Phone: 323-469-5522
Practice Fax: 323-469-8475

1023158698 — MS. JODA HERRAN WEATHERSBY N.P., PHD
Practice Location Address:

241 N FIGUEROA ST RM 347
LOS ANGELES, CA
90012-2601

Practice Phone: 213-240-8051
Practice Fax:

Directions to “PRESTIGE BROADWAY MEDICAL CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.