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 831 E Arrow Hwy , Pomona CA 91767-2535. 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) 895-3100, or through Gupta, Nik via phone (818) 895-3100.

Contact Information

Primary practice address
831 E Arrow Hwy Pomona CA 91767-2535
Phone: (818) 895-3100
Fax: (818) 892-4651
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Nik
Phone: (818) 895-3100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 960000465 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1598996506
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 Aug 7th, 2009
Last updated Sep 22nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598996506 NPPES
California Other 551058 MEDICARE CERTIFICATION NUMBER

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