Organization
MISSION CITY COMMUNITY NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIK GUPTA (CEO & PRESIDENT)
(818) 895-3100
Entity
Organization
Contact information
Practice address
1204 S CENTRAL AVE, GLENDALE, CA 91204-2504
(818) 895-3100
(818) 830-0811
Mailing address
8527 SEPULVEDA BLVD, NORTH HILLS, CA 91343-5824
(818) 895-3100
(818) 830-0811
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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