Organization
MEDICAL MISSION ADVENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIE M ROSADO (PRESIDENT)
(818) 890-3656
Entity
Organization
Contact information
Practice address
11540 BONHAM AVE, SYLMAR, CA 91342-6608
(818) 890-3656
(818) 890-3656
Mailing address
11540 BONHAM AVE, SYLMAR, CA 91342-6608
(818) 890-3656
(818) 890-3656
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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