| Northeast Valley Health Corporation | |
|
23763 Valencia Blvd. Valencia CA 91355 | |
| (661) 287-1551 | |
| (661) 255-8037 |
| Full Name | Northeast Valley Health Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 23763 Valencia Blvd., Valencia, California |
| Authorized Official Name and Position | Kimberly Wyard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8188981388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Valley Health Corporation 1172 N. Maclay Ave. San Fernando CA 91340 Ph: (818) 898-1388 | Northeast Valley Health Corporation 23763 Valencia Blvd. Valencia CA 91355 Ph: (661) 287-1551 |
| NPI Number | 1851578751 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851578751 | NPI | - | NPPES |
| BCP70650F | Other | CA | CANCER DETECTION PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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