THE MISSION MEDICAL CLINIC NPI 1932208600

NPI Information

NPI: 1932208600
Provider Name: THE MISSION MEDICAL CLINIC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
3045 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 587-7771
Get Directions

THE MISSION MEDICAL CLINIC is a neuromusculoskeletal medicine sports medicine in Huntington Park, CA. The provider is definition to come. THE MISSION MEDICAL CLINIC NPI is 1932208600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3045 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 587-7771
Fax: (323) 587-8310

The provider's authorized official is Eduardo Di Sarli .
The authorized official title is Owner and has the following contact phone number (323) 587-7771.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		A36991	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AD1164968	OTHER	CALIFORNIA	DEA
2	GR0070310	MEDICAID	CALIFORNIA
3	A36991	OTHER	CALIFORNIA	CAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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