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MISSION CITY COMMUNITY NETWORK, INC.
NPI 1710102009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hollywood, CA

Active since April 13, 2007
4842 HOLLYWOOD BLVD, HOLLYWOOD, CA 90027(323) 644-1110(323) 644-1171 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mission City Community Network, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION CITY COMMUNITY NETWORK, INC. (NPI 1710102009) is a healthcare organization registered as a mental health (including community mental health center) in Hollywood, California and active in the NPI registry since April 2007. The organization lists Nik Gupta, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1710102009
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMISSION CITY COMMUNITY NETWORK, INC.
Location Address4842 HOLLYWOOD BLVDHollywood, CA 90027-5302
Mailing Address15206 Parthenia StNorth Hills, CA 91343-5305 · (818) 895-3100 · Fax (818) 892-3352
Phone(323) 644-1110
Fax(323) 644-1171
Organization SubpartNo
Authorized OfficialNik GuptaChief Executive Officer · (818) 895-3100
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 21, 2011
✔ NPI 1710102009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in CA · 960001162
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 960001162 (CA)
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X · License 960001162 (CA)
4842 HOLLYWOOD BLVD, Hollywood, CA 90027
Open in Google Maps ↗

Other Identifiers 3

OtherFHC70938FCA · Medical Provider Number
MedicaidHAP70436FCA
Other551067CA · Medicare Fqhc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NASTARAN MINASSIANS NP
Licensed Practical Nurse
4842 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 644-1118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mission City Community Network, Inc.'s NPI number?

The NPI number for Mission City Community Network, Inc. is 1710102009. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Mission City Community Network, Inc. located?

Mission City Community Network, Inc. is located at 4842 Hollywood Blvd, Hollywood, CA 90027. The listed phone number is (323) 644-1110.

What is Mission City Community Network, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mission City Community Network, Inc. was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.