# MISSION CITY COMMUNITY NETWORK, INC.

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

## Provider details

- **NPI number:** 1497063192
- **Authorized official:** MR. NIK GUPTA (C.E.O.)
- **Authorized official phone:** (818) 895-3100

## Contact information

- **Practice address:** 1818 N ORANGE GROVE AVE, \#205, POMONA, CA 91767-3028
- **Practice address phone:** (818) 895-3100
- **Practice address fax:** (818) 892-4651
- **Mailing address:** 15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
- **Mailing address phone:** (818) 895-3100
- **Mailing address fax:** (818) 892-4651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 960000465 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/17/2013
