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Organization

VISTA COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELINA JOHNSON RN, PHN (CEO)
(818) 833-3306
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CA
261QP2300X
Primary Care Clinic/Center
CA

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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