Organization
DEANCO HEALTHCARE LLC.
Active
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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