Medical Mission Adventures

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDICAL MISSION ADVENTURES

Practice address

11540 Bonham Ave
Sylmar, CA 91342-6608

Phone

(818) 890-3656

Fax

(818) 890-3656

NPI assigned

Dec 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Louie M Rosado

Title

President

Phone

(818) 890-3656

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1295038396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 BONHAM AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426608",
            "telephone_number": "818-890-3656",
            "fax_number": "818-890-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 BONHAM AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426608",
            "telephone_number": "818-890-3656",
            "fax_number": "818-890-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MISSION ADVENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-890-3656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McDonnell
• Erik J McEachren
• Shanice Alyssa McKenzie, MD
• Talia Danielle McNamara, MD
• Brian McPhee, MD
• Jacqueline Medina
• Marilyn Joanna Medina
• Natalie Medina
• Meditree Acupuncture Clinic Inc
• Dalila Ester Medrano de Duarte, RN

• Health Service Clinic/Center in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.