Venice Family Clinic Access Center

LBN: Venice Family Clinic
Venice Family Clinic Access Center is an health care organization with primary practice located at 503 Olympic Blvd , Santa Monica CA 90401-3311. The organization recently has 2 registered licenses in different health care specialties including 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 Ibarra, Carmen via phone (310) 664-7667.

Contact Information

Primary practice address
503 Olympic Blvd Santa Monica CA 90401-3311
Phone: (310) 392-8636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ibarra, Carmen
Phone: (310) 664-7667

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 960000960 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1205100468
LBN Legal business name Venice Family Clinic
DBA Doing business as Venice Family Clinic Access Center
Authorized official Ibarra, Carmen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2012
Last updated Sep 29th, 2021 - about 3 years ago

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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