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VENICE FAMILY CLINIC NPI 1467127951


NPI Information

NPI: 1467127951
Provider Name: VENICE FAMILY CLINIC

Other Name: VENICE SOUTH BAY INGLEWOOD OB

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D1045744

Address:
323 N PRAIRIE AVE STE 210
INGLEWOOD, CA
ZIP 90301
Phone: (310) 802-6177
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VENICE FAMILY CLINIC is a federally qualified health center (fqhc) clinic center in Inglewood, CA. VENICE FAMILY CLINIC NPI is 1467127951. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Venice South Bay Inglewood Ob.

The provider's business location address is:

323 N PRAIRIE AVE STE 210
INGLEWOOD, CA
ZIP 90301-504
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 CLIA number assigned to this NPI record is 05D1045744 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 12/1/2023.


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
1171M00000XCase Manager/Care CoordinatorNo
2261QF0400XClinic/CenterFederally 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.