MC
Medical Clinic
MISSION CITY COMMUNITY NETWORK, INC. - WILSHIRE
3660 WILSHIRE BLVD, SUITE 102, LOS ANGELES, CA 90010
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 551183
- LTC
- NON-LTC
- NPI
- 1346525912
- ZIP
- 90010
- id
- 11857
- CITY
- LOS ANGELES
- FLAG
- USE PARENT MATCH
- ZIP9
- 2719
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630026265
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 3660 WILSHIRE BLVD, SUITE 102
- AO NAME
- Not reported
- FACNAME
- MISSION CITY COMMUNITY NETWORK, INC. - WILSHIRE
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 34.061229
- LOCATION
- (-118.304964,34.061229)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -118.304964
- CCLHO CODE
- 19
- CCLHO NAME
- LOS ANGELES
- START DATE
- 09MAR2022
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630013437
- COUNTY CODE
- 200
- COUNTY NAME
- LOS ANGELES
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630013437
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2013-04-18T00:00:00
- BUSINESS NAME
- MISSION CITY COMMUNITY NETWORK, INC.
- DISTRICT NAME
- LA ICF/DD/CLINICS
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550001797
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 96
- FIPS COUNTY CODE
- 6037
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2012-08-10T00:00:00
- CONTACT PHONE NUMBER
- (818) 895-3100
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2011-12-30T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-12-30T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-12-29T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of MISSION CITY COMMUNITY NETWORK, INC. - WILSHIRE
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