Graduated: 2020
NPI: 1508455296
Practice Locations (2)
NORTHEAST VALLEY HEALTH CORPORATION
12756 VAN NUYS BLVD
PACOIMA, CA 913311626
8188960531
NORTHEAST VALLEY HEALTH CORPORATION
1600 SAN FERNANDO RD
SAN FERNANDO, CA 913403115
8183658086
Source: CMS National Downloadable File, September 2026.