Mission City Community Network, Inc.
LBN: Mission City Community Network, Inc.
Mission City Community Network, Inc. is an health care organization with primary practice located at 9919 Laurel Canyon Blvd , Pacoima CA 91331-3940. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Mission City Community Network, Inc. can be contacted via phone (818) 686-4243, or through Gupta, Nik via phone (818) 895-3100.
Contact Information
Primary practice address
9919 Laurel Canyon Blvd
Pacoima CA 91331-3940
Phone: (818) 686-4243
Fax: (818) 686-4259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 960001450 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 960001450 | California |
Profile Details
| NPI number | 1306017603 |
|---|---|
| LBN Legal business name | Mission City Community Network, Inc. |
| DBA Doing business as | |
| Authorized official | Gupta, Nik |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Jul 10th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306017603 | NPPES |
| California | Other | FHC70436F | MEDICAL PROVIDER NUMBER |
| California | Other | EAP70436F | MEDICAL PROVIDER NUMBER |
| California | Other | HAP70436F | MEDICAL PROVIDER NUMBER |
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