Organization · Type 2 NPI

Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) · Sylmar, CA

NPI number 1154322642 Active

Practice location

13356 Eldridge Ave
Sylmar, CA 91342-3200

Call (818) 362-6182 Map

Fax (818) 367-2340

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

3 other providers at this address

Other federally qualified health center (fqhc) providers in Sylmar

Community Medical Wellness Centers USAFederally Qualified Health Center (FQHC) Sylmar, CA NPI 1972005528

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NPI record

NPI: 1154322642
Entity type: Organization (Type 2)
Issued: Aug 9, 2005
Last updated: Feb 22, 2022
Status: Active

Other names

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L.a. Mission College Student Health Center · doing business as
L.a. Mission College Student Health Center · doing business as

Authorized official

Mrs. Kimberly Wyard
Chief Executive Officer
(818) 898-1388

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About NPI 1154322642

Northeast Valley Health Corporation's National Provider Identifier is 1154322642, issued on Aug 9, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sylmar, CA. The record was last updated on Feb 22, 2022.