<unavail> in Los Angeles, CA

is a primary clinic (Clinic/center - Community Health) in Los Angeles, California. The current practice location for is 12316 Venice Blvd, Los Angeles, California. For appointments, you can reach them via phone at (310) 402-2229. The mailing address for is 12316 Venice Blvd, Los Angeles, California and phone number is (310) 402-2229.

is licensed to practice in California (license number 45236) and its NPI number is 1235373838. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (310) 402-2229.

Contact Information


	12316 Venice Blvd Los Angeles CA 90066-3802
	(310) 402-2229
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Community Health
Location	12316 Venice Blvd, Los Angeles, California
Authorized Official Name and Position	Deborah Groening (OWNER)
Authorized Official Contact	3104022229
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
12316 Venice Blvd Los Angeles CA 90066-3802 Ph: (310) 402-2229	12316 Venice Blvd Los Angeles CA 90066-3802 Ph: (310) 402-2229

NPI Details:

NPI Number	1235373838
Provider Enumeration Date	04/27/2009
Last Update Date	06/17/2009

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235373838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	45236 (California)	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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- Primary Care in Los Angeles, CA