Venice South Bay Inglewood

LBN: Venice Family Clinic
Venice South Bay Inglewood is an health care organization with primary practice located at 1091 S La Brea Ave , Inglewood CA 90301-3817. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, 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) 802-6177, or through Popat, Mitesh G via phone (310) 664-7901.

Contact Information

Primary practice address
1091 S La Brea Ave Inglewood CA 90301-3817
Phone: (310) 802-6177
Fax: (310) 802-6178
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 / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1558934059
LBN Legal business name Venice Family Clinic
DBA Doing business as Venice South Bay Inglewood
Authorized official Popat, Mitesh G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2021
Last updated Nov 30th, 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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