Organization
NORTHEAST VALLEY HEALTH CORPORATION
Active
Other names
Pacoima Women's 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
12759 VAN NUYS BLVD, PACOIMA, CA 91331-1627
(818) 896-0531
(818) 896-5850
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 270-9585
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/03/2022
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