MISSION CITY COMMUNITY NETWORK INC. NPI 1780199307

NPI Information

  • NPI: 1780199307
  • Provider Name: MISSION CITY COMMUNITY NETWORK, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: MISSION CITY COMMUNITY NETWORK, INC.-GLENDALE
  • Address: 222 W EULALIA ST STE 301
    GLENDALE, CA
    ZIP 91204
  • Phone: (818) 895-3100

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NPI Details

MISSION CITY COMMUNITY NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Glendale, CA. MISSION CITY COMMUNITY NETWORK, INC. NPI is 1780199307. The provider is registered as an organization entity type.
The provider Other Name Is Mission City Community Network, Inc.-glendale.

The provider's business location address is:

222 W EULALIA ST STE 301
GLENDALE, CA
ZIP 91204-851
Phone: (818) 895-3100
Fax: (818) 893-9464

The provider's authorized official is Nik Gupta .
The authorized official title is President/ceo and has the following contact phone number (818) 895-3100.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550001476CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1550001476OTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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