| Venice Family Clinic | |
|
905 Venice Blvd Venice CA 90291-4904 | |
| (310) 392-8638 | |
| Not Available |
| Full Name | Venice Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Venice Blvd, Venice, California |
| Authorized Official Name and Position | Mitesh G Popat (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3106647901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Venice Family Clinic 604 Rose Ave Venice CA 90291-2767 Ph: (310) 392-8636 | Venice Family Clinic 905 Venice Blvd Venice CA 90291-4904 Ph: (310) 392-8638 |
| NPI Number | 1124054564 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 2264339126 |
|---|---|
| Medicare Enrollment ID | O20150813009805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124054564 | NPI | - | NPPES |
Venice Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2469 Lincoln Blvd, Venice, CA 90291 Phone: 310-392-8636 | |
Venice Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Sunset Ave, Venice, CA 90291 Phone: 310-392-8630 | |
El Dorado Community Service Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd, Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Venice Family Clinic - Venice, Ca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Rose Ave, Venice, CA 90291 Phone: 310-664-7941 | |
Venice Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Venice Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 |