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

Venice Family Clinic

Organization Federally Qualified Health Center (FQHC) · NPI 1780462598

Venice Family Clinic is a Federally Qualified Health Center (FQHC) in Venice, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

622 Rose Ave
Venice, CA 90291-2767
Phone: (310) 392-8636
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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

Record details

NPI number1780462598
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVenice Family Clinic
Authorized official Mitesh Popat — Chief Executive Officer · (310) 664-7901
Other names Venice Family Clinic - Mobile Clinic # 3
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 20, 2023
Mailing address604 Rose Ave, Venice, CA 90291-2767

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