# THE MISSION MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932208600
- **Authorized official:** EDUARDO DI SARLI MD (OWNER)
- **Authorized official phone:** (323) 587-7771

## Contact information

- **Practice address:** 3045 E FLORENCE AVE, HUNTINGTON PARK, CA 90255
- **Practice address phone:** (323) 587-7771
- **Practice address fax:** (323) 587-8310
- **Mailing address:** P.O. BOX 2397, HUNTINGTON PARK, CA 90255
- **Mailing address phone:** (323) 587-7771
- **Mailing address fax:** (323) 587-8310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A36991 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/07/2023