Organization · Type 2 NPI

Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) · Pacoima, CA

NPI number 1114928595 Active

Practice location

12756 Van Nuys Blvd
Pacoima, CA 91331-1626

Call (818) 896-0531 Map

Fax (818) 896-5850

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Clinic/Center 261QC1500X9600189 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

21 other providers at this address

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About NPI 1114928595

Northeast Valley Health Corporation's National Provider Identifier is 1114928595, issued on Aug 9, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Pacoima, CA. The record was last updated on Feb 22, 2022.