Mission City Community Network,inc. | |
8771 Van Nuys Blvd Panorama City CA 91402-2401 | |
(818) 895-3100 | |
(818) 893-9464 |
Full Name | Mission City Community Network,inc. |
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Speciality | Clinic/Center |
Location | 8771 Van Nuys Blvd, Panorama City, 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 |
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Mission City Community Network,inc. 8771 Van Nuys Blvd Panorama City CA 91402-2401 Ph: (818) 895-3100 | Mission City Community Network,inc. 8771 Van Nuys Blvd Panorama City CA 91402-2401 Ph: (818) 895-3100 |
NPI Number | 1215300603 |
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Provider Enumeration Date | 11/05/2015 |
Last Update Date | 11/05/2015 |
Medicare PECOS PAC ID | 1658264684 |
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Medicare Enrollment ID | O20170412001788 |
Identifier | Type | State | Issuer |
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1215300603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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