MISSION CITY COMMUNITY NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. MISSION CITY COMMUNITY NETWORK, INC. NPI is 1992246979. The provider is registered as an organization entity type.
The provider Other Name Is Mission City Community Network-korean Town.
The provider's business location address is:
2655 W. OLYMPIC BLVD.,
LOS ANGELES, CA
ZIP 90006-810
Phone: (818) 895-3100
Fax: (818) 893-9464
The provider's authorized official is Nik Gupta .
The authorized official title is Ceo and has the following contact phone number (818) 895-3100.
The CLIA number assigned to this NPI record is 05D2113988 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/14/2017.