Organization
MISSION CITY COMMUNITY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIK GUPTA (CEO)
(818) 895-3100
Entity
Organization
Contact information
Practice address
3220 N BRONCO ST, LAS VEGAS, NV 89108-4862
(818) 895-3100
(818) 830-0811
Mailing address
8527 SEPULVEDA BLVD, NORTH HILLS, CA 91343-5824
(818) 895-3100
(818) 830-5691
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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