VENICE FAMILY CLINIC NPI 1457924953

NPI Information

NPI: 1457924953
Provider Name: VENICE FAMILY CLINIC

Other Name: VENICE SOUTH BAY CARSON

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
270 E 223RD ST
CARSON, CA
ZIP 90745
Phone: (310) 802-6177
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VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Carson, CA. VENICE FAMILY CLINIC NPI is 1457924953. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Venice South Bay Carson.

The provider's business location address is:

270 E 223RD ST
CARSON, CA
ZIP 90745-804
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 4/25/2024.

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	171M00000X	Case Manager/Care Coordinator				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

NPI Synchronization or Removal

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