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 10200 Sepulveda Blvd Ste 300 , Mission Hills CA 91345-3321. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Mission City Community Network, Inc. can be contacted via phone (818) 830-1441, or through Gupta, Nik via phone (818) 895-3100.
Contact Information
Primary practice address
10200 Sepulveda Blvd Ste 300
Mission Hills CA 91345-3321
Phone: (818) 830-1441
Fax: (818) 221-4114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550000351 | California |
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 550000351 | California |
Profile Details
NPI number | 1376770750 |
---|---|
LBN Legal business name | Mission City Community Network, Inc. |
DBA Doing business as | |
Authorized official | Gupta, Nik CEO |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 12th, 2009 |
Last updated | Jul 10th, 2010 - about 14 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 | 1376770750 | NPPES |
California | Other | FHC70436F | MEDICAL PROVIDER NUMBER |
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