Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Valley Health Corporation

Organization Case Manager/Care Coordinator · NPI 1114104015

Northeast Valley Health Corporation is a Case Manager/Care Coordinator in Van Nuys, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

14624 Sherman Way Fl 6
Van Nuys, CA 91405-2241
Phone: (818) 988-6335
Fax: (818) 988-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Non-Surgical Family Planning Clinic/Center Taxonomy 261QF0050X · Licence 960000947 (CA)

Record details

NPI number1114104015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wyard — Chief Executive Officer · (818) 898-1388
NPI enumeratedJanuary 23, 2008
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address1172 N. Maclay Ave., San Fernando, CA 91340

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