| Mission City Community Network, Inc.-glendale | |
|
222 W Eulalia St Ste 301 Glendale CA 91204-2851 | |
| (818) 895-3100 | |
| (818) 893-9464 |
| Full Name | Mission City Community Network, Inc.-glendale |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 222 W Eulalia St Ste 301, Glendale, California |
| Authorized Official Name and Position | Nik Gupta (PRESIDENT/CEO) |
| Authorized Official Contact | 8188953100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission City Community Network, Inc.-glendale 8527 Sepulveda Blvd North Hills CA 91343-5824 Ph: (818) 895-3100 | Mission City Community Network, Inc.-glendale 222 W Eulalia St Ste 301 Glendale CA 91204-2851 Ph: (818) 895-3100 |
| NPI Number | 1780199307 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780199307 | NPI | - | NPPES |
| 550001476 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001476 (California) | Primary |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
Glendale Premier Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Eulalia St, #201, Glendale, CA 91204 Phone: 818-240-0601 Fax: 818-240-0687 | |
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Armen Nercessian Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 N Brand Blvd Ste 101, Glendale, CA 91202 Phone: 818-552-2011 Fax: 818-552-2012 | |
Synergy Observation Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Lev Grinman Md 3 Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Brand Blvd Ste 600, Glendale, CA 91203 Phone: 818-369-1170 |