NPI | 1780462598 |
---|---|
Other Name | VENICE FAMILY CLINIC - MOBILE CLINIC # 3 |
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) |
Enumeration Date | 2023-09-21 |
Last Update Date | 2023-09-21 |