Organization · Type 2 NPI

Venice Family Clinic

Federally Qualified Health Center (FQHC) · Venice, CA

NPI number 1932479243 Active

Practice location

604 Rose Ave
Venice, CA 90291-2767

Mailing address

19756 Gilmore St
Woodland Hills, CA 91367-2808

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XA34595 (CA)

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

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About NPI 1932479243

Venice Family Clinic's National Provider Identifier is 1932479243, issued on Jan 3, 2012. 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 Jan 3, 2012.