Organization · Type 2 NPI

Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) · Reseda, CA

NPI number 1487517850 Active

Practice location

6416 Tampa Ave.
Reseda, CA 91335-6647

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1487517850

Northeast Valley Health Corporation's National Provider Identifier is 1487517850, issued on Dec 3, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Reseda, CA. The record was last updated on Dec 3, 2025.