| El Dorado Community Service Center | |
|
717 Lincoln Blvd Venice CA 90291-2845 | |
| (310) 399-9883 | |
| (310) 399-9678 |
| Full Name | El Dorado Community Service Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 717 Lincoln Blvd, Venice, California |
| Authorized Official Name and Position | Seanjay Ramanand Sharma (DIRECTOR) |
| Authorized Official Contact | 6612546630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Community Service Center Po Box 801809 Valencia CA 91380-1809 Ph: (661) 254-6630 | El Dorado Community Service Center 717 Lincoln Blvd Venice CA 90291-2845 Ph: (310) 399-9883 |
| NPI Number | 1114096872 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114096872 | NPI | - | NPPES |
| CMM70719F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 960001025 (California) | 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 | |
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: 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 |