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FP91343 MISSION CITY COMMUNITY NETWORK, INC. (Terminated)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
MISSION CITY COMMUNITY NETWORK, INC.
Type
Family Planning (Title X only)
340B ID
FP91343
Grant Number
FPHPA096061
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2005
Participating Start Date
1/1/2011
Participating Approval Date
12/13/2010
Last Recertification Date
6/9/2016
Termination Date
Termination Reason
7/1/2016
Failure to recertify
Contacts
Authorizing Official
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Primary Contact
IRIS BAO-NGOC NGUYEN, PHARMACIST
(818) 895-3100 Ext: 650
Addresses
Street Address
15206 PARTHENIA STREET
NORTH HILLS, CA 91343-5305
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/27/12 Added sub-div name; 12/10/2010- ELIG. FROM 4/10/2005 TO 3/31/2006, INELIG. FROM 4/1/2006 TO 12/31/2010
02/27/2012
12/10/2010- ELIG. FROM 4/10/2005 TO 3/31/2006, INELIG. FROM 4/1/2006 TO 12/31/2010
12/13/2010
April 2025
April 2025
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