| Mission City Community Network Inc | |
|
501 E Hardy St Suite 110 Inglewood CA 90301-4054 | |
| (818) 895-3100 | |
| (818) 892-4651 |
| Full Name | Mission City Community Network Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 501 E Hardy St, Inglewood, California |
| Authorized Official Name and Position | Nik Gupta (CHIEF EXECUTIVE OFFICER) |
| 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 15206 Parthenia St North Hills CA 91343-5305 Ph: (818) 895-3100 | Mission City Community Network Inc 501 E Hardy St Suite 110 Inglewood CA 90301-4054 Ph: (818) 895-3100 |
| NPI Number | 1659502664 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659502664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550001476 (California) | Primary |
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