Healthcare Provider Details

I. General information

NPI: 1487298477
Provider Name (Legal Business Name): SFV HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8426 SUNLAND BLVD
SUN VALLEY CA
91352-3436
US

IV. Provider business mailing address

8426 SUNLAND BLVD
SUN VALLEY CA
91352-3436
US

V. Phone/Fax

Practice location:
  • Phone: 818-504-4514
  • Fax: 747-245-1096
Mailing address:
  • Phone: 818-935-4452
  • Fax: 747-245-1096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERRI KISHIYAMA
Title or Position: CEO
Credential:
Phone: 818-935-4452