MISSION CITY COMMUNITY NETWORK INC. NPI 1467760165

NPI Information

  • NPI: 1467760165
  • Provider Name: MISSION CITY COMMUNITY NETWORK, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 05D2098850
  • Address: 14850 ROSCOE BLVD
    PANORAMA CITY, CA
    ZIP 91402
  • 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 Panorama City, CA. MISSION CITY COMMUNITY NETWORK, INC. NPI is 1467760165. The provider is registered as an organization entity type.

The provider's business location address is:

14850 ROSCOE BLVD
PANORAMA CITY, CA
ZIP 91402-618
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 CLIA number assigned to this NPI record is 05D2098850 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.

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)960000465CALIFORNIAYes

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: 3/30/2025

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