Healthcare Provider Details

I. General information

NPI: 1649389289
Provider Name (Legal Business Name): VALLEY GOOD FAMILY MEDICAL CENTER, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18308 SHERMAN WAY STE 2
RESEDA CA
91335-4476
US

IV. Provider business mailing address

18308 SHERMAN WAY STE 2
RESEDA CA
91335-4476
US

V. Phone/Fax

Practice location:
  • Phone: 818-708-0466
  • Fax: 818-708-2841
Mailing address:
  • Phone: 818-708-0466
  • Fax: 818-708-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SEH HOON CHO
Title or Position: SECRETARY
Credential: D.C.
Phone: 818-708-0466