THE MISSION MEDICAL CLINIC – NPI #1932208600
Neuromusculoskeletal Medicine, Sports Medicine
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
THE MISSION MEDICAL CLINIC is a provider located in HUNTINGTON PARK, CA. NPPES has assigned the NPI number 1932208600 to THE MISSION MEDICAL CLINIC on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.
The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE MISSION MEDICAL CLINIC below.
NPI Profile for
THE MISSION MEDICAL CLINIC
(more than 19 years ago)
HUNTINGTON PARK, CA 90255 Phone: (323) 587-7771 Fax: (323) 587-8310
HUNTINGTON PARK, CA 90255 Phone: (323) 587-7771 Fax: (323) 587-8310
OWNER
Phone: (323) 587-7771
Identifiers for THE MISSION MEDICAL CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | CAL LICENSE | CA | A36991 |
| medicaid | CA | GR0070310 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 204C00000X - Neuromusculoskeletal Medicine, Sports Medicine (Primary) |
CA | A36991 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.