Organization
DEANCO HEALTHCARE LLC.
Active
Other names
Mission Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MIHI LEE (CHIEF FINANCIAL OFFICER)
(818) 304-8644
Entity
Organization
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402
(818) 787-2222
(818) 904-3650
Mailing address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402
(818) 787-2222
(818) 904-3650
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
930000101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30704F
—
CA
05
—
HSM30704F
—
CA
05
—
HSP40704F
—
CA
Enumeration date
01/22/2007
Last updated
08/28/2023
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