Mission City Community Network INC
NPI #1598287682 in Maywood, California
Provider Information
- NPI Number
- 1598287682
- Entity Type
- Organization
- Organization Name
- Mission City Community Network INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 5800 KING AVE
- City
- Maywood
- State
- California
- ZIP Code
- 90270-2928
- Phone
- (818) 895-3100
Authorized Official
- Name
- NIK GUPTA
- Title
- CHIEF 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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