Organization
VENICE FAMILY CLINIC
Active
Organization
VENICE FAMILY CLINIC
Active
Parent organization
VENICE FAMILY CLINIC
Other names
Venice Family Clinic - Torrance Skypark
Organization subpart
Yes
Provider details
NPI number
Legal business name
VENICE FAMILY CLINIC
Authorized official
ANDREA B BLACKBIRD (CHIEF FINANCIAL OFFICER)
(310) 664-7941
Entity
Organization
Contact information
Practice address
23456 HAWTHORNE BLVD STE 260, TORRANCE, CA 90505-4716
(310) 593-9594
Mailing address
604 ROSE AVE, VENICE, CA 90291-2767
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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