Irma Colen Health Center

LBN: Venice Family Clinic
Irma Colen Health Center is an health care organization with primary practice located at 4700 Inglewood Blvd #102, Culver City CA 90230-5896. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Venice Family Clinic can be contacted via phone (310) 392-8636, or through Popat, Mitesh G via phone (310) 664-7901.

Contact Information

Primary practice address
4700 Inglewood Blvd #102 Culver City CA 90230-5896
Phone: (310) 392-8636
Fax: (310) 664-7913
Website:
Map and Directions
Authorized official contact:
Name: Popat, Mitesh G Doctor of Medicine (MD)
Phone: (310) 664-7901

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X 960001387 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1003842360
LBN Legal business name Venice Family Clinic
DBA Doing business as Irma Colen Health Center
Authorized official Popat, Mitesh G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2006
Last updated Sep 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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