Mission City Community Network, Inc. | |
15210 Parthenia St. North Hills CA 91343 | |
(818) 895-3100 | |
(818) 892-4651 |
Full Name | Mission City Community Network, Inc. |
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Speciality | Clinic/Center |
Location | 15210 Parthenia St., North Hills, California |
Authorized Official Name and Position | Nik Gupta (C.E.O.) |
Authorized Official Contact | 8188953100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mission City Community Network, Inc. 15206 Parthenia St North Hills CA 91343-5305 Ph: (818) 895-3100 | Mission City Community Network, Inc. 15210 Parthenia St. North Hills CA 91343 Ph: (818) 895-3100 |
NPI Number | 1043593304 |
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Provider Enumeration Date | 09/23/2011 |
Last Update Date | 09/23/2011 |
Medicare PECOS PAC ID | 1658264684 |
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Medicare Enrollment ID | O20120718000359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043593304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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