Mission City Community Network, Inc.

NPI #1528416104 in Culver City, California

Provider Information

NPI Number
1528416104
Entity Type
Organization
Organization Name
Mission City Community Network, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 24, 2016
Last Updated
Jan 5, 2018

Practice Location

Address
9808 VENICE BLVD
ZIP Code
90232-2732
Phone
(818) 895-3100

Authorized Official

Name
NIK GUPTA
Title
CEO
Phone
(818) 895-3100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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