NPI: 1609128206
Provider Name: MISSION CITY COMMUNITY NETWORK, INC.
Doing Business As: MISSION CITY COMMUNITY NETWORK, INC. - SAN FERNANDO VALLEY MOBILE
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization
Specialization: Community Health
Address:
9919 LAUREL CANYON BLVD
PACOIMA, CA
ZIP 91331
Phone: (818) 895-3100
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MISSION CITY COMMUNITY NETWORK, INC. is a community health clinic center in Pacoima, CA. MISSION CITY COMMUNITY NETWORK, INC. NPI is 1609128206. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission City Community Network, Inc. - San Fernando Valley Mobile.
The provider's business location address is:
9919 LAUREL CANYON BLVD
PACOIMA, CA
ZIP 91331-940
Phone: (818) 895-3100
Fax: (818) 892-4651
The provider's authorized official is Nik Gupta .
The authorized official title is C.e.o. and has the following contact phone number (818) 895-3100.
The enumeration date for this NPI number is 10/5/2012 and was last updated on 10/5/2012.