Healthcare Provider Details

I. General information

NPI: 1730043316
Provider Name (Legal Business Name): SFV HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10641 SAN FERNANDO RD STE 201
PACOIMA CA
91331-2626
US

IV. Provider business mailing address

10641 SAN FERNANDO RD STE 201
PACOIMA CA
91331-2626
US

V. Phone/Fax

Practice location:
  • Phone: 818-504-4745
  • Fax:
Mailing address:
  • Phone: 818-504-4745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: TERRI KISHIYAMA
Title or Position: CEO
Credential:
Phone: 818-504-4514