Healthcare Provider Details

I. General information

NPI: 1316800386
Provider Name (Legal Business Name): SAN FERNANDO VALLEY INTERFAITH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5056 VAN NUYS BLVD BLDG B
SHERMAN OAKS CA
91403-1704
US

IV. Provider business mailing address

5056 VAN NUYS BLVD BLDG B
SHERMAN OAKS CA
91403-1704
US

V. Phone/Fax

Practice location:
  • Phone: 818-462-7109
  • Fax:
Mailing address:
  • Phone: 818-462-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE GALLOWAY
Title or Position: PRESIDENT
Credential:
Phone: 818-462-7019