MISSION CITY COMMUNITY NETWORK INC – NPI #1548740939
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MISSION CITY COMMUNITY NETWORK INC is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1548740939 to MISSION CITY COMMUNITY NETWORK INC on August 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Feb 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSION CITY COMMUNITY NETWORK INC below.

NPI Profile for
MISSION CITY COMMUNITY NETWORK INC

NPI Number
1548740939
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSION CITY COMMUNITY NETWORK INC
Primary location
5300 SANTA MONICA BLVD STE 202
LOS ANGELES, CA 90029
Phone: (818) 895-3100 Fax: (818) 893-9464
Mailing address
8527 SEPULVEDA BLVD
NORTH HILLS, CA 91343-5824
Phone: (818) 895-3100 Fax: (818) 893-9464
Organization Subpart
Yes - MISSION CITY COMMUNITY NETWORK INC is subpart of another organization.
Authorized Official
NIK GUPTA
PRESIDENT/CEO
Phone: (818) 895-3100
Updated
Certification Date
Feb 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
CA 550001476

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.