Mission City Community Network, Inc. | |
9919 Laurel Canyon Blvd Pacoima CA 91331-3940 | |
(818) 686-4243 | |
(818) 686-4259 |
Full Name | Mission City Community Network, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 9919 Laurel Canyon Blvd, Pacoima, 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 |
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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. 9919 Laurel Canyon Blvd Pacoima CA 91331-3940 Ph: (818) 686-4243 |
NPI Number | 1306017603 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 07/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306017603 | NPI | - | NPPES |
FHC70436F | Other | CA | MEDICAL PROVIDER NUMBER |
EAP70436F | Other | CA | MEDICAL PROVIDER NUMBER |
HAP70436F | Other | CA | MEDICAL PROVIDER NUMBER |
Mission City Community Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9919 Laurel Canyon Blvd, Pacoima, CA 91331 Phone: 818-895-3100 | |
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Gilbert Rosales,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13711 Van Nuys Blvd Suite 1, Pacoima, CA 91331 Phone: 818-897-2164 Fax: 818-890-9614 | |
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