Organization
NORTHEAST VALLEY HEALTH CORPORATION
Active
Other names
SCV Dental and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY WYARD (CEO)
(818) 898-1388
Entity
Organization
Contact information
Practice address
17909 SOLEDAD CANYON RD FL 2, SANTA CLARITA, CA 91387-3210
(661) 673-8888
(661) 298-8668
Mailing address
1172 N MACLAY AVE OFC, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 270-9585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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