Organization · Type 2 NPI
Northeast Valley Health Corporation
Medical Specialty Clinic/Center · Pacoima, CA
Practice location
12756 Van Nuys Boulevard
Pacoima, CA 91331
Fax (818) 896-5850
Mailing address
1172 N. Maclay Ave.
San Fernando, CA 91340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Medical Specialty Clinic/Center Primary | 261QM2500X | 960000189 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1447437462
Northeast Valley Health Corporation's National Provider Identifier is 1447437462, issued on Jan 22, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Pacoima, CA. The record was last updated on Feb 23, 2022.