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Organization

NORTHEAST VALLEY HEALTH CORPORATION

Active
Other names
VN Women's and Reproductive Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER)
(818) 898-1388
Entity
Organization

Contact information

Practice address
14624 SHERMAN WAY STE 306, VAN NUYS, CA 91405-2288
(818) 898-1388
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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