Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Venice Family Clinic

Organization Case Manager/Care Coordinator · NPI 1003842360

Venice Family Clinic is a Case Manager/Care Coordinator in Culver City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

4700 Inglewood Blvd #102
Culver City, CA 90230-5896
Phone: (310) 392-8636
Fax: (310) 664-7913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 960001387 (CA)

Record details

NPI number1003842360
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVenice Family Clinic
Authorized official Mitesh Popat — Chief Executive Officer · (310) 664-7901
Other names Irma Colen Health Center; Irma Colen Health Center
NPI enumeratedJune 25, 2006
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address604 Rose Ave, Venice, CA 90291-2767

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