| Venice Family Clinic - Venice, Ca | |
|
622 Rose Ave Venice CA 90291-2767 | |
| (310) 664-7941 | |
| Not Available |
| Full Name | Venice Family Clinic - Venice, Ca |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 622 Rose Ave, Venice, California |
| Authorized Official Name and Position | Andrea Blackbird (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3106647941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venice Family Clinic - Venice, Ca 604 Rose Ave Venice CA 90291-2767 Ph: () - | Venice Family Clinic - Venice, Ca 622 Rose Ave Venice CA 90291-2767 Ph: (310) 664-7941 |
| NPI Number | 1114726148 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114726148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Venice Blvd, Venice, CA 90291 Phone: 310-392-8638 | |
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 |