340B Drug Pricing Program Database

Name

Mission City Community Network, Inc.

Subdivision Name

Mission City Community Network- Hollywood-Santa Monica

Type

HRSA-Funded Health Center

Site ID

BPS-H80-024524

340B ID

CHC08241-26

Grant Number

H80CS08241

Current Program Status

Terminated

Registration Date

1/11/2019

Participating Start Date

4/1/2019

Participating Approval Date

1/14/2019

Last Recertification Date

1/30/2023

Termination Date
Termination Reason

4/1/2024
Site closure

Authorizing Official

Mission City Community Network
Nik Gupta, CEO
(818) 895-3100

Primary Contact

Mission City Community Network
Maureen Ndu, Director of Programs
(818) 895-3100 Ext: 627

Street Address

5300 Santa Monica Blvd Suite 202
Los Angeles, CA 90029-1258

Billing Address

Mission City Community Network, Inc.-Hollywood Santa Monica
8527 Sepulveda Blvd.,
North Hills, CA 91343-5305