Organization
MISSION CITY COMMUNUTY NETWORK, INC
Active
Organization
MISSION CITY COMMUNUTY NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIK GUPTA CPA (CEO)
(818) 895-3100
Entity
Organization
Contact information
Practice address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000465
CA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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