# MISSION CITY COMMUNITY NETWORK, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366010209
- **Authorized official:** MR. NIK GUPTA (CEO & PRESIDENT)
- **Authorized official phone:** (818) 895-3100

## Contact information

- **Practice address:** 613 S HOWARD ST, CORONA, CA 92879-2254
- **Practice address phone:** (818) 895-3100
- **Practice address fax:** (818) 830-0811
- **Mailing address:** 613 S HOWARD ST, CORONA, CA 92879-2254
- **Mailing address phone:** (818) 895-3100
- **Mailing address fax:** (818) 830-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 06/16/2021