Organization · Type 2 NPI
Northeast Valley Health Corporation
Federally Qualified Health Center (FQHC) · Van Nuys, CA
NPI number
1174223085
Active
Practice location
14624 Sherman Way Ste 306
Van Nuys, CA 91405-2288
Mailing address
1172 N Maclay Ave
San Fernando, CA 91340-1328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1174223085
Northeast Valley Health Corporation's National Provider Identifier is 1174223085, issued on Mar 8, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Van Nuys, CA. The record was last updated on Mar 8, 2023.