Organization
MISSION CITY COMMUNITY NETWORK INC
Active
Parent organization
MISSION CITY COMMUNITY NETWORK, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION CITY COMMUNITY NETWORK, INC.
Authorized official
MR. NIK GUPTA (PRESIDENT/CEO)
(818) 895-3100
Entity
Organization
Contact information
Practice address
5300 SANTA MONICA BLVD STE 202, LOS ANGELES, CA 90029
(818) 895-3100
(818) 893-9464
Mailing address
8527 SEPULVEDA BLVD, NORTH HILLS, CA 91343-5824
(818) 895-3100
(818) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
550001476
CA
Other
Enumeration date
08/15/2018
Last updated
02/12/2020
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