| Irma Colen Health Center Fpact | |
|
4700 Inglewood Blvd Ste 102 Culver City CA 90230-5896 | |
| (310) 392-8636 | |
| Not Available |
| Full Name | Irma Colen Health Center Fpact |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4700 Inglewood Blvd Ste 102, 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 Health Center Fpact 604 Rose Ave Venice CA 90291-2767 Ph: (310) 392-8636 | Irma Colen Health Center Fpact 4700 Inglewood Blvd Ste 102 Culver City CA 90230-5896 Ph: (310) 392-8636 |
| NPI Number | 1992964746 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992964746 | NPI | - | NPPES |
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Daniel V. Ehrensaft, Md A Professional Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite 603, Culver City, CA 90232 Phone: 310-202-9145 Fax: 310-202-0188 | |
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