| Venice Family Clinic | |
|
604 Rose Ave Venice CA 90291-2767 | |
| (310) 392-8630 | |
| Not Available |
| Full Name | Venice Family Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 604 Rose Ave, Venice, California |
| Authorized Official Name and Position | Elizabeth Forer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3106647901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venice Family Clinic 604 Rose Ave Venice CA 90291-2767 Ph: () - | Venice Family Clinic 604 Rose Ave Venice CA 90291-2767 Ph: (310) 392-8630 |
| NPI Number | 1457510208 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 02/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457510208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960000169 (California) | Primary |
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