Organization · Type 2 NPI

Venice Family Clinic

Federally Qualified Health Center (FQHC) · Santa Monica, CA

NPI number 1205100468 Active

Practice location

503 Olympic Blvd
Santa Monica, CA 90401-3311

Call (310) 392-8636 Map

Mailing address

604 Rose Ave
Venice, CA 90291-2767

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500X960000960 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1205100468

Venice Family Clinic's National Provider Identifier is 1205100468, issued on Mar 5, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 29, 2021.