| Mission City Community Network, Inc. | |
|
14850 Roscoe Blvd Panorama City CA 91402-4618 | |
| (818) 895-3100 | |
| (818) 892-4651 |
| Full Name | Mission City Community Network, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14850 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Nik Gupta (C.E.O) |
| 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. 14850 Roscoe Blvd Panorama City CA 91402-4618 Ph: (818) 895-3100 |
| NPI Number | 1467760165 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467760165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000465 (California) | Primary |
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