VENICE FAMILY CLINIC

SANTA MONICA, CA
NPI1861935652
Other NameCOMMON GROUND
Entity TypeOrganization
Authorized ContactMITESH G POPAT
Chief Executive Officer
310-664-7901
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2016-11-28
Last Update Date2023-09-11
Business Address
VENICE FAMILY CLINIC
2401 LINCOLN BLVD
SANTA MONICA, CA 90405-3863
Phone number: 310-392-8636
Mailing Address
VENICE FAMILY CLINIC
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636