| NPI | 1285895078 |
|---|---|
| Other Name | VENICE FAMILY CLINIC - CDP |
| Entity Type | Organization |
| Authorized Contact | MITESH G POPAT Chief Executive Officer 310-664-7901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000169) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-09-11 |