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

General Provider Information

NPI Number	:	1659215424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICO SIMONINI, M.D.,PROF CORP

Provider Business Mailing Address
First Line	:	PO BOX 27206
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-0206
Country	:	US
Telephone Number	:	213-385-0675
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 S SAN VICENTE BLVD STE 498
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4884
Country	:	US
Telephone Number	:	310-425-0672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMERICO A SIMONINI
Credential	:	MD
Telephone Number	:	310-425-0672

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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

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