Northeast Valley Health Corporation
NPI #1053312587 in Pacoima, California
Provider Information
- NPI Number
- 1053312587
- Entity Type
- Organization
- Organization Name
- Northeast Valley Health Corporation
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Feb 22, 2022
Practice Location
- Address
- 12451 W. GAIN STREET
- City
- Pacoima
- State
- California
- ZIP Code
- 91331
- Phone
- (818) 897-2193
Authorized Official
- Name
- MRS. KIMBERLY WYARD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (818) 898-1388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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