Venice Family Clinic in Venice - Community Health
Venice Family Clinic - NPI 1285895078
Venice Family Clinic is a Community Health in Venice, California. Venice Family Clinic practices all healthcare services and medical treatments related to Community Health. The NPI Number for Venice Family Clinic is 1285895078. The last update date is 2023-09-11.
Venice Family Clinic's current location address is 604 Rose Ave, Venice, California. You can contact this provider via phone number 3103928636. The mailing address for Venice Family Clinic is 604 Rose Ave, Venice, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Venice Family Clinic |
|---|---|
| Address | 604 Rose Ave, Venice, California |
| Phone Number | 3103928636 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Popat G Mitesh |
| Credentials | MD |
| Telephone Number | 3106647901 |
NPI Number Detail
| NPI Number | 1285895078 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2023-09-11 |
Provider Mailing Address Detail
| Address | 604 Rose Ave |
|---|---|
| City | Venice |
| State | California (CA) |
| Post Code | 902912767 |
| Phone Number | 3103928636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 960000169 |
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Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
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What is the unique 10-digit identification code issued to Venice Family Clinic by the Centers for Medicare & Medicaid Services?
The Venice Family Clinic has been assigned the NPI (National Provider Identifier) 1285895078 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Venice Family Clinic located?
The Venice Family Clinic is located at 604 Rose Ave, Venice, CA 902912767.
What is the Venice Family Clinic's area of specialization and corresponding taxonomy classification?
The Venice Family Clinic's specialty field is Community Health, and it falls under the taxonomy code 261Qc1500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1285895078 to Venice Family Clinic?
The Centers for Medicare & Medicaid Services assigned the 1285895078 to Venice Family Clinic on 2008-06-24.
As of what date was the information regarding Venice Family Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Venice Family Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-11.