| NPI | 1780199307 |
|---|---|
| Other Name | MISSION CITY COMMUNITY NETWORK, INC.-GLENDALE |
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA President/CEO 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001476) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-06-16 |