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IRMA COLEN HEALTH CENTER
NPI 1003842360
Clinic/Center - Federally Qualified Health Center (FQHC) in Culver City, CA

Active since June 25, 2006CLIA Certified · 3 labs
4700 INGLEWOOD BLVD, #102, CULVER CITY, CA 90230(310) 392-8636(310) 664-7913 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Feb 22, 2022, Sep 29, 2021 and 4 more (7 updates tracked since 2016).

About Irma Colen Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRMA COLEN HEALTH CENTER (NPI 1003842360) is a healthcare organization registered as a federally qualified health center (fqhc) in Culver City, California and active in the NPI registry since June 2006. The organization holds 3 active CLIA laboratory certificates and lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003842360
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address4700 INGLEWOOD BLVD, #102Culver City, CA 90230-5896
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 392-8636
Fax(310) 664-7913
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJune 25, 2006
Last NPPES UpdateSeptember 7, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1003842360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 960001387 (CA)
4700 INGLEWOOD BLVD, Culver City, CA 90230
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Other Names 1

Other NameIrma Colen Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306088

Venice Family Clinic Maxine Waters Health & Dignity Center · Hawthorne, CA
Active · expires Jun 10, 2028
CLIA Number05D2306088
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorMichelle I. Aguilar
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic Maxine Waters Health & Dignity Center11802 York Avenue, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2340231

Venice Family Clinic-Hsd Health And Dignity Center · Hawthorne, CA
Active · expires Mar 12, 2028
CLIA Number05D2340231
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorMichelle Aguilar
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic-Hsd Health And Dignity Center13435 S Yukon Avenue, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0917672

Venice Family Clinic-Simms/Mann Health And Wellness Center · Santa Monica, CA
Active · expires Oct 29, 2027
CLIA Number05D0917672
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorBlanca G. Andres
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic-Simms/Mann Health And Wellness Center2509 Pico Blvd, Santa Monica, CA 90405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MOORE
Family Medicine
4700 INGLEWOOD BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
DR. ZARIN NASIR TEJANI MD
Pediatrics
4700 INGLEWOOD BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
MS. MARY HELEN SMITH F.N.P.
Registered Nurse (Community Health)
4700 INGLEWOOD BLVD, SUITE #102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8630
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD, SUITE # 101
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD, #102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1003842360. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider is also known as Irma Colen Health Center.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 4700 Inglewood Blvd #102, Culver City, CA 90230. The listed phone number is (310) 392-8636.

What is Venice Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Venice Family Clinic hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Venice Family Clinic was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.