Organization · Type 2 NPI

Venice Family Clinic

Federally Qualified Health Center (FQHC) · Venice, CA

NPI number 1124054564 Active

Practice location

905 Venice Blvd
Venice, CA 90291-4904

Call (310) 392-8638 Map

Mailing address

604 Rose Ave
Venice, CA 90291-2767

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500X960000959 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1124054564

Venice Family Clinic's National Provider Identifier is 1124054564, issued on Jun 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Venice, CA. The record was last updated on Sep 7, 2023.