# MISSION CITY COMMUNITY NETWORK INC

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

## Provider details

- **NPI number:** 1932770716
- **Authorized official:** NIK GUPTA (CEO & PRESIDENT)
- **Authorized official phone:** (818) 895-3100

## Contact information

- **Practice address:** 401 E BUENA VISTA ST, BARSTOW, CA 92311-2815
- **Practice address phone:** (818) 895-3100
- **Practice address fax:** (818) 830-0811
- **Mailing address:** 401 E BUENA VISTA ST, BARSTOW, CA 92311-2815
- **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:** 07/02/2021
- **Last updated:** 07/02/2021