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 1790156917

Venice Family Clinic is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
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Practice location Address checks out

4700 Inglewood Blvd Ste # 101
Los Angeles, 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

Record details

NPI number1790156917
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVenice Family Clinic
Authorized official Mitesh Popat — Chief Executive Officer · (310) 664-7901
Other names Lou Colen Health & Wellness Center
NPI enumeratedOctober 14, 2015
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address604 Rose Ave, Venice, CA 90291-2767

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