| Northeast Valley Health Corporation | |
| 
					1172 N Maclay Ave San Fernando CA 91340-1328  | |
| (818) 898-1388 | |
| (818) 270-9585 | 
| Full Name | Northeast Valley Health Corporation | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 1172 N Maclay Ave, San Fernando, California | 
| Authorized Official Name and Position | Kimberly Wyard (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 8188981388 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northeast Valley Health Corporation 1172 N Maclay Ave San Fernando CA 91340-1328 Ph: (818) 898-1388  | Northeast Valley Health Corporation 1172 N Maclay Ave San Fernando CA 91340-1328 Ph: (818) 898-1388  | 
| NPI Number | 1679332647 | 
|---|---|
| Provider Enumeration Date | 03/13/2024 | 
| Last Update Date | 03/13/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679332647 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Louis B Flores Md Inc - A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340 Phone: 818-853-2220 Fax: 818-853-2221  | |
Northeast Valley Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826  | |
San Fernando Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St Ste 100, San Fernando, CA 91340 Phone: 818-963-5690  | |
Noble Care Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Maclay Ave, San Fernando, CA 91340 Phone: 818-361-3788 Fax: 818-361-4630  | |
Hope Community Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340 Phone: 818-853-2220 Fax: 818-853-2221  | |
San Fernando Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 732 Mott St, Suite 100, San Fernando, CA 91340 Phone: 818-963-5690 Fax: 818-365-0726  | |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Pico St, San Fernando, CA 91340 Phone: 818-837-6969  |