Graduated: 1976
NPI: 1396760120
Practice Locations (2)
NORTHEAST VALLEY HEALTH CORPORATION
7107 REMMET AVE
CANOGA PARK, CA 913032016
8183403570
NORTHEAST VALLEY HEALTH CORPORATION
1600 SAN FERNANDO RD
SAN FERNANDO, CA 913403115
8183658086
Source: CMS National Downloadable File, September 2026.