Healthcare Provider Details

I. General information

NPI: 1316873201
Provider Name (Legal Business Name): COMMUNITY HEALTH ALLIANCE OF GREATER AEROSPACE VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8361 JACARANDA AVE
CALIFORNIA CITY CA
93505-3320
US

IV. Provider business mailing address

8361 JACARANDA AVE
CALIFORNIA CITY CA
93505-3320
US

V. Phone/Fax

Practice location:
  • Phone: 661-365-1454
  • Fax: 661-365-1454
Mailing address:
  • Phone: 661-365-1454
  • Fax: 661-365-1454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SYLVIA YVETTE BURLESON BROWN
Title or Position: SECRETARY/CAO
Credential:
Phone: 661-365-1454