# VISTA COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760740138
- **Authorized official:** DELINA JOHNSON RN, PHN (CEO)
- **Authorized official phone:** (818) 833-3306

## Contact information

- **Practice address:** 14117 HUBBARD ST, SUITE M, SYLMAR, CA 91342-4713
- **Practice address phone:** (818) 833-3306
- **Mailing address:** 14117 HUBBARD ST, SUITE M, SYLMAR, CA 91342-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | CA | — |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/24/2012
