Venice Family Clinic- Robert Levine Family Health

NPI 1811158603 - Clinic/Center - 261QC1500X

NPI Details
NPI 1811158603
Enumeration Date 06/24/2008
Last Updated 02/26/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position CHIEF EXECUTIVE OFFICER
Phone (310) 392-8630
Fax
Practice Location
905 VENICE BLVD
VENICE CA, 90291-4904, US
Phone (310) 392-8630
Fax
Business Location
905 VENICE BLVD
VENICE CA, 90291-4904, US
Phone
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number 960000959
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According to our database, Venice Family Clinic- Robert Levine Family Health NPI is 1811158603, taxonomy code is 261QC1500X and license number is 960000959, license state is located at California. Venice Family Clinic- Robert Levine Family Health physically located at 905 Venice Blvd, Venice CA, 90291-4904. NPI Number 1033115704 has the healthcare provider type.

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1811158603 NPI number is provided on an as is basis without warranty of any kind. 1811158603 is maintained by the National Plan & Provider Enumeration System. The contents of Venice Family Clinic- Robert Levine Family Health are for informational purposes only.