Mission City Community Network, Inc.
NPI #1306017603 in Pacoima, California
Provider Information
- NPI Number
- 1306017603
- Entity Type
- Organization
- Organization Name
- Mission City Community Network, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 14, 2008
- Last Updated
- Jul 10, 2010
Practice Location
- Address
- 9919 LAUREL CANYON BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-3940
- Phone
- (818) 686-4243
Authorized Official
- Name
- MR. NIK GUPTA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (818) 895-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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