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Organization

MISSION CITY COMMUNITY NETWORK, INC.

Active
Other names
Mission City Community Network, Inc. - San Fernando Valley Mobile
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NIK GUPTA (C.E.O.)
(818) 895-3100
Entity
Organization

Contact information

Practice address
9919 LAUREL CANYON BLVD, PACOIMA, CA 91331-3940
(818) 895-3100
(818) 892-4651
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 892-4651

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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