Venice Family Clinic
Venice Family Clinic is a Case Manager/Care Coordinator in Gardena, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
742 W Gardena BlvdGardena, CA 90247-5024
Phone: (310) 802-6177
Fax: (310) 802-6178
Show map & directions
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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 |
Record details
| NPI number | 1184297681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Venice Family Clinic |
| Authorized official | Mitesh Popat — Chief Executive Officer · (310) 664-7901 |
| Other names | Venice South Bay Gardena |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | November 30, 2023 |
| Certification date | November 30, 2023 |
| Mailing address | 604 Rose Ave, Venice, CA 90291-2767 |
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Mr. Elio Vargas Jr.
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Briana Wiley
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Yulon Wroten
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MS. Shirley Marie Wubben, MSW
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