Organization · Type 2 NPI

Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) · San Fernando, CA

NPI number 1154510139 Active

Practice location

1172 N Maclay Ave
San Fernando, CA 91340-1328

Fax (818) 365-4031

Specialties and licenses

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

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

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About NPI 1154510139

Northeast Valley Health Corporation's National Provider Identifier is 1154510139, issued on Oct 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Fernando, CA. The record was last updated on Feb 22, 2022.