El Dorado Community Service Center
NPI #1114096872 in Venice, California
Provider Information
- NPI Number
- 1114096872
- Entity Type
- Organization
- Organization Name
- El Dorado Community Service Center
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jan 31, 2017
Practice Location
- Address
- 717 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2845
- Phone
- (310) 399-9883
Authorized Official
- Name
- SEANJAY RAMANAND SHARMA
- Title
- DIRECTOR
- Phone
- (661) 254-6630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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