Organization
EL DORADO COMMUNITY SERVICE CENTER
Active
Other names
VENICE MEDICAL & MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SEANJAY RAMANAND SHARMA (DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
717 LINCOLN BLVD, VENICE, CA 90291-2845
(310) 399-9883
(310) 399-9678
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
960001025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70719F
—
CA
Enumeration date
11/07/2006
Last updated
01/31/2017
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