VENICE FAMILY CLINIC NPI 1275792020

NPI Information

NPI: 1275792020
Provider Name: VENICE FAMILY CLINIC

Other Name: ROBERT LEVINE FAMILY HEALTH CENTER CDP

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
905 VENICE BLVD
VENICE, CA
ZIP 90291
Phone: (310) 392-8630
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VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Venice, CA. VENICE FAMILY CLINIC NPI is 1275792020. The provider is registered as an organization entity type.
The provider Other Name Is Robert Levine Family Health Center Cdp.

The provider's business location address is:

905 VENICE BLVD
VENICE, CA
ZIP 90291-904
Phone: (310) 392-8630

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 6/6/2008 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	261QC1500X	Clinic/Center	Community Health	960000959	CALIFORNIA	No
2	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: 4/28/2024

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