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:
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 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 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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