| Mission City Community Network,inc | |
|
10200 Sepulveda Blvd Ste 300 Mission Hills CA 91345-3321 | |
| (818) 830-1441 | |
| (818) 221-4114 |
| Full Name | Mission City Community Network,inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10200 Sepulveda Blvd Ste 300, Mission Hills, California |
| Authorized Official Name and Position | Nik Gupta (CHEIF EXECUTIVE OFFICER) |
| 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: (818) 895-3100 | Mission City Community Network,inc 10200 Sepulveda Blvd Ste 300 Mission Hills CA 91345-3321 Ph: (818) 830-1441 |
| NPI Number | 1427234590 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427234590 | NPI | - | NPPES |
| EAP70436F | Medicaid | CA | |
| FHC70436F | Medicaid | CA | |
| HAP70436F | Medicaid | CA | |
| W11698 | Other | CA | GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | G23299 (California) | Primary |
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Lds Family Services Van Nuys Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15501 San Fernando Mission Blvd Ste 302, Mission Hills, CA 91345 Phone: 818-781-5511 Fax: 818-781-5595 | |
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Compass Treatment Center, A Marriage And Family Therapy Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10200 Sepulveda Blvd Ste 180, Mission Hills, CA 91345 Phone: 818-672-6338 Fax: 818-698-6555 |