VENICE FAMILY CLINIC NPI 1053854836

NPI Information

NPI: 1053854836
Provider Name: VENICE FAMILY CLINIC

Other Name: BILL'S CLINIC AT SAFE PLACE FOR YOUTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2469 LINCOLN BLVD
VENICE, CA
ZIP 90291
Phone: (310) 392-8636
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VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Venice, CA. VENICE FAMILY CLINIC NPI is 1053854836. The provider is registered as an organization entity type.
The provider Other Name Is Bill's Clinic At Safe Place For Youth.

The provider's business location address is:

2469 LINCOLN BLVD
VENICE, CA
ZIP 90291-040
Phone: (310) 392-8636

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 11/28/2016 and was last updated on 9/11/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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