NORTHEAST VALLEY HEALTH CORPORATION NPI 1730180118

NPI Information

NORTHEAST VALLEY HEALTH CORPORATION is a community health clinic center in Valencia, CA. NORTHEAST VALLEY HEALTH CORPORATION NPI is 1730180118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lac-valencia Health Center.

The provider's business location address is:

23763 VALENCIA BLVD
VALENCIA, CA
ZIP 91355-105
Phone: (661) 287-1551
Fax: (661) 255-8037

The provider's authorized official is Kimberly Wyard .
The authorized official title is Chief Executive Officer and has the following contact phone number (818) 898-1388.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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