Van Nuys Adult Health Center
LBN: Northeast Valley Health Corporation
Van Nuys Adult Health Center is an health care organization with primary practice located at 14624 Sherman Way Suite 600, Van Nuys CA 91405-2241. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northeast Valley Health Corporation can be contacted via phone (818) 988-6335, or through Wyard, Kimberly via phone (818) 898-1388.
Contact Information
Primary practice address
14624 Sherman Way Suite 600
Van Nuys CA 91405-2241
Phone: (818) 988-6335
Fax: (818) 988-2140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1629079009 |
|---|---|
| LBN Legal business name | Northeast Valley Health Corporation |
| DBA Doing business as | Van Nuys Adult Health Center |
| Authorized official | Wyard, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 23rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629079009 | NPPES |
| California | Other | CB204579 | MEDICARE PART B |
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