| NPI | 1205100468 |
|---|---|
| Other Name | VENICE FAMILY CLINIC ACCESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CARMEN IBARRA Chief Operating Officer 310-664-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000960) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-09-29 |