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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