Venice Family Clinic
NPI #1518739515 in Hawthorne, California
Provider Information
- NPI Number
- 1518739515
- Entity Type
- Organization
- Organization Name
- Venice Family Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VENICE FAMILY CLINIC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 11802 YORK AVE
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-3125
- Phone
- (310) 392-8636
Authorized Official
- Name
- DR. MITESH G POPAT, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (310) 664-7901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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