VENICE FAMILY CLINIC NPI 1184297681

NPI Information

VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Gardena, CA. VENICE FAMILY CLINIC NPI is 1184297681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Venice South Bay Gardena.

The provider's business location address is:

742 W GARDENA BLVD
GARDENA, CA
ZIP 90247-024
Phone: (310) 802-6177
Fax: (310) 802-6178

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 7/21/2021 and was last updated on 11/30/2023.

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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