Organization
MISSION CITY COMMUNITY NETWORK INC
Active
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
501 E HARDY ST, SUITE 110, INGLEWOOD, CA 90301-4054
(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
550001476
CA
Other
Enumeration date
08/07/2009
Last updated
06/22/2012
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