| Northwest Valley Family Medical Clinic, Inc. | |
|
21119 Devonshire St Chatsworth CA 91311 | |
| (818) 727-1974 | |
| (818) 727-7726 |
| Full Name | Northwest Valley Family Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 21119 Devonshire St, Chatsworth, California |
| Authorized Official Name and Position | Martina Barte Masongsong (V.P./TREASURER) |
| Authorized Official Contact | 8187271974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Valley Family Medical Clinic, Inc. 19182 Dunure Place Northridge CA 91326 Ph: (818) 368-2859 | Northwest Valley Family Medical Clinic, Inc. 21119 Devonshire St Chatsworth CA 91311 Ph: (818) 727-1974 |
| NPI Number | 1932295474 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932295474 | NPI | - | NPPES |
| GR0101261 | Medicaid | CA | |
| GR0101260 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A70495 (California) | Primary |
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