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Organization

MISSION CITY COMMUNITY NETWORK, INC.

Active
Other names
Mission City Community Network, Inc.-La Puente
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLORIA LINA (COO)
(818) 895-3100
Entity
Organization

Contact information

Practice address
1025 WILLOW AVE, LA PUENTE, CA 91746-1617
(818) 895-3100
(818) 893-9464
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 893-9464

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CA

Other

Enumeration date
03/26/2015
Last updated
06/01/2015
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