Organization
MISSION CITY COMMUNITY NETWORK,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIK GUPTA (CHIEF EXECUTIVE OFFICER)
(818) 895-3100
Entity
Organization
Contact information
Practice address
8771 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 895-3100
(818) 893-9464
Mailing address
8771 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 895-3100
(818) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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