VENICE FAMILY CLINIC

SANTA MONICA, CA
NPI1184883936
Other NameSIMMS/MANN HEALTH & WELLNESS CENTER FPACT
Entity TypeOrganization
Authorized ContactMITESH G POPAT
Chief Executive Officer
310-664-7901
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies261QC1500X Clinic/Center, Community Health
(Licence: CA  960000960)
Enumeration Date2008-06-06
Last Update Date2023-09-11
Business Address
VENICE FAMILY CLINIC
2509 PICO BLVD
SANTA MONICA, CA 90405-1828
Phone number: 310-392-8630
Mailing Address
VENICE FAMILY CLINIC
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: