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

Venice Family Clinic

Organization Case Manager/Care Coordinator · NPI 1558934059

Venice Family Clinic is a Case Manager/Care Coordinator in Inglewood, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1091 S La Brea Ave
Inglewood, CA 90301-3817
Phone: (310) 802-6177
Fax: (310) 802-6178
Show map & directions

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 number1558934059
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVenice Family Clinic
Authorized official Mitesh Popat — Chief Executive Officer · (310) 664-7901
Other names Venice South Bay Inglewood
NPI enumeratedJuly 21, 2021
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address604 Rose Ave, Venice, CA 90291-2767

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