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NPI Code Detail

MEDICARE: VALLEY COMMUNITY HEALTHCARE

MEDICARE: VALLEY COMMUNITY HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2251V00000XVoluntary or Charitable Agency960000122CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588740989
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY COMMUNITY HEALTHCARE
Provider Business Mailing Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-763-1718
Fax Number : 818-763-7231
Provider Business Practice Location Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-763-1718
Fax Number : 818-763-7231
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ANITA ZAMORA
Credential :
Telephone Number : 818-763-1718
Provider Enumeration Date : 10/27/2006
Last Update Date : 06/20/2024

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Directions to “VALLEY COMMUNITY HEALTHCARE ” Practice Location

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