Organization
VENICE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA M ARCE (BILLING MANAGER)
(310) 664-7828
Entity
Organization
Contact information
Practice address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
Mailing address
19756 GILMORE ST, WOODLAND HILLS, CA 91367-2808
(818) 943-0598
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
A34595
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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