Irma Colen Health Center Fpact
LBN: Venice Family Clinic
Irma Colen Health Center Fpact is an health care organization with primary practice located at 4700 Inglewood Blvd Ste 102 , Culver City CA 90230-5896. 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
4700 Inglewood Blvd Ste 102
Culver City CA 90230-5896
Phone: (310) 392-8636
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Community Health | 261QC1500X | 960001387 | California |
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1992964746 |
---|---|
LBN Legal business name | Venice Family Clinic |
DBA Doing business as | Irma Colen Health Center Fpact |
Authorized official | Popat, Mitesh G Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 6th, 2008 |
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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