Organization
MISSION CITY COMMUNITY NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIK GUPTA (CEO & PRESIDENT)
(818) 895-3100
Entity
Organization
Contact information
Practice address
401 E BUENA VISTA ST, BARSTOW, CA 92311-2815
(818) 895-3100
(818) 830-0811
Mailing address
401 E BUENA VISTA ST, BARSTOW, CA 92311-2815
(818) 895-3100
(818) 830-0811
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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