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
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(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
261QA0005X
Ambulatory Family Planning Facility
960000465
CA
261QC1500X
Community Health Clinic/Center
960000465
CA
261QD0000X
Dental Clinic/Center
FHC70436F
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551023
MEDICARE PTAN
CA
01
—
EAP70436F
MEDICAL PROVIDER NUMBER
CA
01
—
FHC70436F
MEDICAL PROVIDER NUMBER
CA
01
—
HAP70436F
MEDICAL PROVIDER NUMBER
CA
Enumeration date
07/16/2006
Last updated
07/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us