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FQ114A MISSION CITY COMMUNITY NETWORK INC (Terminated)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK INC
Subdivision Name
Mission City Community Network - Hollywood
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009745
340B ID
FQ114A
Grant Number
LALCS00029
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/13/2012
Last Recertification Date
2/17/2017
Termination Date
Termination Reason
4/1/2017
DSH percentage below statutory minimum
Contacts
Authorizing Official
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Primary Contact
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Addresses
Street Address
4842 Hollywood Blvd
Los Angeles, CA 90027
Billing Address
Mission City Community Network, Inc.
15206 Parthenia Street
North Hills, CA 91343
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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