Mission City Community Network, Inc. | |
1661 W Broadway Anaheim CA 92802-1110 | |
(818) 895-3100 | |
Not Available |
Full Name | Mission City Community Network, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1661 W Broadway, Anaheim, California |
Authorized Official Name and Position | Nik Gupta (CEO) |
Authorized Official Contact | 8188953100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission City Community Network, Inc. 15206 Parthenia St North Hills CA 91343-5305 Ph: () - | Mission City Community Network, Inc. 1661 W Broadway Anaheim CA 92802-1110 Ph: (818) 895-3100 |
NPI Number | 1164870739 |
---|---|
Provider Enumeration Date | 05/24/2016 |
Last Update Date | 09/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164870739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 5 days ago
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