DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHEAST VALLEY HEALTH CORPORATION

MEDICARE: NORTHEAST VALLEY HEALTH CORPORATION
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
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1902467574
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST VALLEY HEALTH CORPORATION
Provider Business Mailing Address
First Line : 1172 N MACLAY AVE
Second Line :
City : SAN FERNANDO
State : CA
Zip : 91340-1328
Country : US
Telephone Number : 818-898-1388
Fax Number : 818-270-9585
Provider Business Practice Location Address
First Line : 7843 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-2523
Country : US
Telephone Number : 818-485-5555
Fax Number : 818-485-5556
Authorized Official
Title or Position : CHIEF EXECUITVE OFFICER
Name : MRS. KIMBERLY WYARD
Credential :
Telephone Number : 818-898-1388
Provider Enumeration Date : 06/25/2019
Last Update Date : 03/03/2022

Similar Medicare Providers

1194726984 — DR. WANJIKU ANN MAXINE MOITE M.D.
Practice Location Address:
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-765-8656
Practice Fax: 818-765-6982
1770874026 — LOS ANGELES FAMILY HOUSING
Practice Location Address:
7817 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-982-4091
Practice Fax:
1568910487 — MS. DENISE NICOLE SANDOVAL FNP-BC
Practice Location Address:
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-826-5555
Practice Fax:
1265006126 — KERESTIAN ESTEDABADI LCSW
Practice Location Address:
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-932-8178
Practice Fax:
1629788229 — MR. ARMANI DODSON
Practice Location Address:
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-765-8656
Practice Fax:
1548138431 — L.A. FAMILY HOUSING CORPORATION
Practice Location Address:
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-2523
Practice Phone: 818-982-4091
Practice Fax: 818-707-1476

Directions to “NORTHEAST VALLEY HEALTH CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.