Organization · Type 2 NPI
Northeast Valley Health Corporation
Federally Qualified Health Center (FQHC) · Van Nuys, CA
NPI number
1184625568
Active
Practice location
6551 Van Nuys Blvd Fl 2
Van Nuys, CA 91401-1566
Fax (818) 765-6982
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...
2 other providers at this address
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About NPI 1184625568
Northeast Valley Health Corporation's National Provider Identifier is 1184625568, issued on Aug 9, 2005. 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 Feb 22, 2022.