Organization
NORTHEAST VALLEY HEALTH CORPORATION
Active
Organization
NORTHEAST VALLEY HEALTH CORPORATION
Active
Other names
Transitions to Wellness-North Hollywood Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY WYARD (CHIEF EXECUITVE OFFICER)
(818) 898-1388
Entity
Organization
Contact information
Practice address
7843 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91605-2523
(818) 485-5555
(818) 485-5556
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
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
03/03/2022
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