institution
Mission City Community Network, Inc.
Federally Qualified Health Center (FQHC) in Pacoima, California
NPI 1306017603

Mission City Community Network, Inc. is a Federally Qualified Health Center (FQHC) based in North Hills, CA and is specialized in Federally Qualified Health Center (FQHC). Mission City Community Network, Inc. practices in Pacoima, CA. The NPI Number for Mission City Community Network, Inc. is 1306017603 and holds a License No. 960001450 (California).

The current practice location address for Mission City Community Network, Inc. is 9919 Laurel Canyon Blvd, Pacoima, CA and can be reached out via phone at 818-686-4243 and via fax at 818-686-4259.

Location: 9919 Laurel Canyon Blvd, Pacoima, CA, 91343-5305
institution
Provider Profile Details
NPI Number
1306017603
Provider Name
Mission City Community Network, Inc.
Credential
Provider Entity Type
Organization
Address
9919 Laurel Canyon Blvd, Pacoima, CA, 91343-5305
Phone Number
818-686-4243
Fax Number
818-686-4259
Provider Enumeration Date
03/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70436F 01 CA MEDICAL PROVIDER NUMBER
EAP70436F 01 CA MEDICAL PROVIDER NUMBER
HAP70436F 01 CA MEDICAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
9919 Laurel Canyon Blvd
City
State
Zip
91331-3940
Phone Number
818-686-4243
Fax Number
818-686-4259
person
Provider Business Mailing Address Details
Address
9919 Laurel Canyon Blvd
City
State
Zip
91331-3940
Phone Number
818-686-4243
Fax Number
818-686-4259
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
960001450 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
960001450 (California)
Definition
Definition to come...
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