# NORTHEAST VALLEY HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valencia Health Center, LAC-VALENCIA HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730180118
- **Authorized official:** MRS. KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (818) 898-1388

## Contact information

- **Practice address:** 23763 VALENCIA BLVD, VALENCIA, CA 91355-2105
- **Practice address phone:** (661) 287-1551
- **Practice address fax:** (661) 255-8037
- **Mailing address:** 1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
- **Mailing address phone:** (818) 898-1388
- **Mailing address fax:** (818) 365-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 261QC1500X | Community Health Clinic/Center | 9600964 | CA | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 03/03/2022