Organization
MISSION CITY COMMUNITY NETWORK, INC.
Active
Parent organization
MISSION CITY COMMUNITY NETWORK INC.
Other names
Mission City Community Network-Korean Town
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION CITY COMMUNITY NETWORK INC.
Authorized official
NIK GUPTA (CEO)
(818) 895-3100
Entity
Organization
Contact information
Practice address
2655 W. OLYMPIC BLVD.,, LOS ANGELES, CA 90006-2810
(818) 895-3100
(818) 893-9464
Mailing address
8527 SEPULVEDA BLVD, NORTH HILLS, CA 91343-5824
(818) 895-3100
(818) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960001162
CA
Other
Enumeration date
03/10/2017
Last updated
03/14/2017
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