Mission City Community Network, Inc.-Glendale

LBN: Mission City Community Network, Inc.
Mission City Community Network, Inc.-Glendale is an health care organization with primary practice located at 222 W Eulalia St Ste 301 , Glendale CA 91204-2851. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as 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
222 W Eulalia St Ste 301 Glendale CA 91204-2851
Phone: (818) 895-3100
Fax: (818) 893-9464
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Nik
Phone: (818) 895-3100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550001476 California

Profile Details

NPI number 1780199307
LBN Legal business name Mission City Community Network, Inc.
DBA Doing business as Mission City Community Network, Inc.-Glendale
Authorized official Gupta, Nik
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Jun 16th, 2018 - about 7 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 1780199307 NPPES
California Other 550001476 STATE LICENSE

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