| Mission City Community Network, Inc. | |
|
10200 Sepulveda Blvd Ste 300 Mission Hills CA 91345-3321 | |
| (818) 830-1441 | |
| (818) 221-4114 |
| Full Name | Mission City Community Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10200 Sepulveda Blvd Ste 300, Mission Hills, California |
| Authorized Official Name and Position | Nik Gupta (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8188953100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 10200 Sepulveda Blvd Ste 300 Mission Hills CA 91345-3321 Ph: (818) 830-1441 |
| NPI Number | 1376770750 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 07/10/2010 |
| Medicare PECOS PAC ID | 1658264684 |
|---|---|
| Medicare Enrollment ID | O20091201000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376770750 | NPI | - | NPPES |
| FHC70436F | Other | CA | MEDICAL PROVIDER NUMBER |
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