MEDICARE: MISSION MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	200901610039	CA

General Provider Information

NPI Number	:	1881825008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	4444 EL CAJON BLVD
Second Line	:	03
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4312
Country	:	US
Telephone Number	:	619-229-9597
Fax Number	:	619-229-9594

Provider Business Practice Location Address
First Line	:	4444 EL CAJON BLVD
Second Line	:	03
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4312
Country	:	US
Telephone Number	:	619-229-9597
Fax Number	:	619-229-9594

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MIMI DO
Credential	:
Telephone Number	:	619-229-9597

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	08/21/2012

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1265506794 — HUONG THI LE NGUYEN MD
Practice Location Address:

4444 EL CAJON BLVD , SUITE #6
SAN DIEGO, CA
92115-4312

Practice Phone: 619-285-1522
Practice Fax: 619-285-0714

1295941623 — BRENDA J ALLEN RNCNP
Practice Location Address:

4474 EL CAJON BLVD
SAN DIEGO, CA
92115-4312

Practice Phone: 619-283-6281
Practice Fax:

1437300050 — MRS. MARGARET MARY STERN RN CFNP
Practice Location Address:

4474 EL CAJON BLVD , HOOVER HIGH SCHOOL HEALTH CENTER
SAN DIEGO, CA
92115-4312

Practice Phone: 619-584-9285
Practice Fax: 619-284-5901

1790923894 — TONNU OPTOMETRY INC
Practice Location Address:

4444 EL CAJON BLVD # 2
SAN DIEGO, CA
92115-4312

Practice Phone: 619-280-6200
Practice Fax:

1306292321 — UPAC TRC
Practice Location Address:

4474 EL CAJON BLVD , BUILDING 600
SAN DIEGO, CA
92115-4312

Practice Phone: 619-521-5720
Practice Fax:

Directions to “MISSION MEDICAL SUPPLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.