Organization · Type 2 NPI

Northeast Valley Health Corporation

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

NPI number 1235130600 Active

Practice location

1600 San Fernando Rd
San Fernando, CA 91340-3115

Call (818) 365-8086 Map

Fax (818) 898-4826

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1235130600

Northeast Valley Health Corporation's National Provider Identifier is 1235130600, issued on Aug 9, 2005. 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.