MEDICARE: AMERICO SIMONINI, M.D.,PROF CORP

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	207RC0000X	Cardiovascular Disease Physician	G73109	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538320619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICO SIMONINI, M.D.,PROF CORP

Provider Business Mailing Address
First Line	:	8635 W 3RD ST
Second Line	:	750W
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-6101
Country	:	US
Telephone Number	:	310-659-2030
Fax Number	:	310-659-1369

Provider Business Practice Location Address
First Line	:	8635 W 3RD ST
Second Line	:	750W
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-6101
Country	:	US
Telephone Number	:	310-659-2030
Fax Number	:	310-659-1369

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMERICO SIMONINI
Credential	:	MD
Telephone Number	:	310-659-2030

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	04/14/2026

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Directions to “AMERICO SIMONINI, M.D.,PROF CORP ” Practice Location

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