VENICE FAMILY CLINIC NPI 1003842360

NPI Information

VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Culver City, CA. VENICE FAMILY CLINIC NPI is 1003842360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Irma Colen Health Center.

The provider's business location address is:

4700 INGLEWOOD BLVD
#102
CULVER CITY, CA
ZIP 90230-896
Phone: (310) 392-8636
Fax: (310) 664-7913

The provider's authorized official is Mitesh G Popat .
The authorized official title is Chief Executive Officer and has the following contact phone number (310) 664-7901.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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