Provider Demographics
NPI:1497129050
Name:ALL FAMILY HEALTH CLINIC INC
Entity Type:Organization
Organization Name:ALL FAMILY HEALTH CLINIC INC
Other - Org Name:VALENICA MEDICAL CENTER AND URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YAO
Authorized Official - Middle Name:WENG
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-222-9117
Mailing Address - Street 1:24159 MAGIC MOUNTAIN PKWY
Mailing Address - Street 2:
Mailing Address - City:VALENICA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3904
Mailing Address - Country:US
Mailing Address - Phone:661-222-9117
Mailing Address - Fax:888-278-0126
Practice Address - Street 1:24159 MAGIC MOUNTAIN PKWY
Practice Address - Street 2:
Practice Address - City:VALENICA
Practice Address - State:CA
Practice Address - Zip Code:91355-3904
Practice Address - Country:US
Practice Address - Phone:661-222-9117
Practice Address - Fax:888-278-0126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL FAMILY HEALTH CLINIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-19
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA612962208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty