Sandy Segal Youth Health Center

LBN: Venice Family Clinic
Sandy Segal Youth Health Center is an health care organization with primary practice located at 4401 Elenda St , Culver City CA 90230-4101. 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 Popat, Mitesh G via phone (310) 664-7901.

Contact Information

Primary practice address
4401 Elenda St Culver City CA 90230-4101
Phone: (310) 392-8636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Popat, Mitesh G Doctor of Medicine (MD)
Phone: (310) 664-7901

Health care specialties

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

Profile Details

NPI number 1417490236
LBN Legal business name Venice Family Clinic
DBA Doing business as Sandy Segal Youth Health Center
Authorized official Popat, Mitesh G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2016
Last updated Sep 11th, 2023 - about 2 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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