| Irma Colen Family Health Center Cdp | |
|
4700 Inglewood Blvd #102 Culver City CA 90230-5896 | |
| (310) 392-8636 | |
| Not Available |
| Full Name | Irma Colen Family Health Center Cdp |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4700 Inglewood Blvd, Culver City, California |
| Authorized Official Name and Position | Mitesh G Popat (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3106647901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma Colen Family Health Center Cdp 604 Rose Ave Venice CA 90291-2767 Ph: (310) 392-8636 | Irma Colen Family Health Center Cdp 4700 Inglewood Blvd #102 Culver City CA 90230-5896 Ph: (310) 392-8636 |
| NPI Number | 1992966782 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992966782 | NPI | - | NPPES |
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