Venice Family Clinic - Colen Family Health Center

NPI 1003842360 - Clinic/Center - 261QC1500X

NPI Details
NPI 1003842360
Enumeration Date 06/25/2006
Last Updated 07/30/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position CEO
Phone (310) 392-8636
Fax (310) 664-7913
Practice Location
4700 INGLEWOOD BLVD
#102
CULVER CITY CA, 90230-5896, US
Phone (310) 392-8636
Fax (310) 664-7913
Business Location
604 ROSE AVE
VENICE CA, 90291-2767, US
Phone (310) 664-7935
Fax (310) 664-7913
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number 960001387
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According to our database, Venice Family Clinic - Colen Family Health Center NPI is 1003842360, taxonomy code is 261QC1500X and license number is 960001387, license state is located at California. Venice Family Clinic - Colen Family Health Center physically located at 4700 Inglewood Blvd, Culver City CA, 90230-5896. NPI Number 1033115704 has the healthcare provider type.

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1003842360 NPI number is provided on an as is basis without warranty of any kind. 1003842360 is maintained by the National Plan & Provider Enumeration System. The contents of Venice Family Clinic - Colen Family Health Center are for informational purposes only.