Common Ground
LBN: Venice Family Clinic
Common Ground is an health care organization with primary practice located at 2401 Lincoln Blvd , Santa Monica CA 90405-3863. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Venice Family Clinic can be contacted via phone (310) 392-8636, or through Popat, Mitesh G via phone (310) 664-7901.
Contact Information
Primary practice address
2401 Lincoln Blvd
Santa Monica CA 90405-3863
Phone: (310) 392-8636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1861935652 |
|---|---|
| LBN Legal business name | Venice Family Clinic |
| DBA Doing business as | Common Ground |
| Authorized official | Popat, Mitesh G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 28th, 2016 |
| Last updated | Sep 11th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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