Mission City Community Network, INC.
Clinic/Center, Community Health in North Hills, CA. Organization (NPI-2).
NPI number1710370747
StatusActive
Last updated in NPPESJul 18, 2017
Details
- NPI
- 1710370747
- Entity type
- Organization (NPI-2)
- Legal business name
- Mission City Community Network, INC.
- Organization subpart
- Yes
- Enumeration date
- Mar 16, 2015
- Last updated
- Jul 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | – | – | Yes |
Other names
- Mission City Community Network INC. (Doing Business As)
Practice location
8527 Sepulveda BlvdNorth Hills, CA 91343-5824
Phone 818-895-3100 · Fax 818-893-9464
Mailing address
8527 Sepulveda BlvdNorth Hills, CA 91343-5824
Phone 818-895-3100 · Fax 818-893-9464
Authorized official
Nik Gupta
Ceo
8188953100
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