Provider Demographics
NPI:1427611961
Name:VALLEY COMMUNITY HEALTHCARE
Entity type:Organization
Organization Name:VALLEY COMMUNITY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-763-8836
Mailing Address - Street 1:9119 HASKELL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3121
Mailing Address - Country:US
Mailing Address - Phone:818-763-8836
Mailing Address - Fax:
Practice Address - Street 1:5800 FULTON AVE
Practice Address - Street 2:
Practice Address - City:VALLEY GLEN
Practice Address - State:CA
Practice Address - Zip Code:91401-4062
Practice Address - Country:US
Practice Address - Phone:818-763-8836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-06-06
Deactivation Date:2019-05-06
Deactivation Code:
Reactivation Date:2019-06-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable