VENICE FAMILY CLINIC

VENICE, CA
NPI1285895078
Other NameVENICE FAMILY CLINIC - CDP
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  960000169)
Enumeration Date2008-06-24
Last Update Date2023-09-11
Business Address
VENICE FAMILY CLINIC
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8630
Mailing Address
VENICE FAMILY CLINIC
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636