Organization
VENICE FAMILY CLINIC
Active
Other names
Simms/Mann Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITESH G POPAT MD (CHIEF EXECUTIVE OFFICE)
(310) 664-7901
Entity
Organization
Contact information
Practice address
2509 PICO BLVD, SANTA MONICA, CA 90405-1828
(310) 664-7935
(310) 664-7913
Mailing address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 664-7935
(310) 664-7913
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/11/2023
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