Venice Family Clinic
NPI #1053660720 in Santa Monica, California
Provider Information
- NPI Number
- 1053660720
- Entity Type
- Organization
- Organization Name
- Venice Family Clinic
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 10, 2012
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 2509 PICO BLVD
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-1828
- Phone
- (310) 664-7935
Authorized Official
- Name
- DR. MITESH G POPAT, MD
- Title
- CHIEF EXECUTIVE OFFICE
- Phone
- (310) 664-7901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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