Pediatric Health And Wic Center

LBN: Northeast Valley Health Corporation
Pediatric Health And Wic Center is an health care organization with primary practice located at 7138 Van Nuys Blvd , Van Nuys CA 91405-3005. 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) 778-6240, or through Wyard, Kimberly via phone (818) 898-1388.

Contact Information

Primary practice address
7138 Van Nuys Blvd Van Nuys CA 91405-3005
Phone: (818) 778-6240
Fax: (818) 994-8005
Website:
Map and Directions
Authorized official contact:
Name: Wyard, Kimberly
Phone: (818) 898-1388

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1093716474
LBN Legal business name Northeast Valley Health Corporation
DBA Doing business as Pediatric Health And Wic Center
Authorized official Wyard, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 22nd, 2022 - about 4 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.

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