VENICE FAMILY CLINIC

CULVER CITY, CA
NPI1992964746
Other NameIRMA COLEN HEALTH CENTER FPACT
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  960001387)
Enumeration Date2008-06-06
Last Update Date2023-09-11
Business Address
VENICE FAMILY CLINIC
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230-5896
Phone number: 310-392-8636
Mailing Address
VENICE FAMILY CLINIC
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636