# MISSION CITY COMMUNITY NETWORK INC

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

## Provider details

- **NPI number:** 1407500374
- **Authorized official:** MR. NIK GUPTA (CEO)
- **Authorized official phone:** (818) 895-3100

## Contact information

- **Practice address:** MISSION CITY COMMUNITY NETWORK, INC, 3660 WILSHIRE BLVD, SUITE 102,, LOS ANGELES, CA 90010-2763
- **Practice address phone:** (818) 895-3100
- **Practice address fax:** (818) 830-0811
- **Mailing address:** MISSION CITY COMMUNITY NETWORK INC., 3660 WILSHIRE BLVD, SUITE 102,, LOS ANGELES, CA 90010-2763
- **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:** 02/09/2022
- **Last updated:** 07/22/2022