Graduated: 1993
NPI: 1225083876
Practice Locations (2)
NORTHEAST VALLEY HEALTH CORPORATION
7107 REMMET AVE
CANOGA PARK, CA 913032016
8183403570
NORTHEAST VALLEY HEALTH CORPORATION
12756 VAN NUYS BLVD
PACOIMA, CA 913311626
8188960531
Source: CMS National Downloadable File, September 2026.