| Northwest Valley Family Medical Clinic, Inc. | |
|
17909 Soledad Canyon Rd # 100 Santa Clarita CA 91387-3210 | |
| (661) 367-3500 | |
| Not Available |
| Full Name | Northwest Valley Family Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 17909 Soledad Canyon Rd # 100, Santa Clarita, California |
| Authorized Official Name and Position | Martina Barte Masongsong (VICE-PRESIDENT) |
| Authorized Official Contact | 8183881951 |
| 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. 17909 Soledad Canyon Rd # 100 Santa Clarita CA 91387-3210 Ph: (661) 367-3500 |
| NPI Number | 1255426383 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255426383 | NPI | - | NPPES |
| GR0101260 | Medicaid | CA | |
| GR0101261 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A70428 (California) | Primary |
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