Organization · Type 2 NPI

Venice Family Clinic

Federally Qualified Health Center (FQHC) · Culver City, CA

NPI number 1417490236 Active

Practice location

4401 Elenda St
Culver City, CA 90230-4101

Mailing address

604 Rose Ave
Venice, CA 90291-2767

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1417490236

Venice Family Clinic's National Provider Identifier is 1417490236, issued on Nov 28, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Culver City, CA. The record was last updated on Sep 11, 2023.