| Organization Name: | MISSION CENTER HEALTHCARE A MEDICAL CORPORATION |
| NPI Number: | 1609980887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | R GUISEPPI SLATER (PRESIDENT) |
| Mailing Address: | 2524 H Dela Rosa Sr St Soledad |
| State: | CA US |
| Postal Code: | 939603383 |
| Phone Number: | 8316788899 |
| Fax Number: | 8316784545 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |