Organization · Type 2 NPI

Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) · Van Nuys, CA

NPI number 1629079009 Active

Practice location

14624 Sherman Way, Suite 600
Van Nuys, CA 91405-2241

Call (818) 988-6335 Map

Fax (818) 988-2140

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

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

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

49 other providers at this address

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About NPI 1629079009

Northeast Valley Health Corporation's National Provider Identifier is 1629079009, 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 23, 2022.