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
9919 LAUREL CANYON BLVD, PACOIMA, CA 91331-3940
(818) 895-3100
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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