Mission City Community Network, Inc.
NPI #1275786402 in Northridge, California
Provider Information
- NPI Number
- 1275786402
- Entity Type
- Organization
- Organization Name
- Mission City Community Network, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 31, 2008
- Last Updated
- Jun 6, 2019
Practice Location
- Address
- 8363 RESEDA BLVD STE 11
- City
- Northridge
- State
- California
- ZIP Code
- 91324-4694
- Phone
- (818) 998-7085
Authorized Official
- Name
- MR. NIK GUPTA
- Title
- CHEIF EXECUTIVE OFFICER
- Phone
- (818) 895-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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