LOU COLEN HEALTH & WELLNESS CENTER
NPI 1790156917
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
NPI Status: Active since October 14, 2015
Contact Information
4700 INGLEWOOD BLVD
SUITE # 101
LOS ANGELES, CA
ZIP 90230
Phone: (310) 392-8636
Fax: (310) 664-7913
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D2132228
- CLIA Cert. Type: Other - MEDICAL SRVS TO HOMELESS
- CLIA Exp. Date: 06-13-2027
About LOU COLEN HEALTH & WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Lou Colen Health & Wellness Center, a primary care provider established in Los Angeles, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1790156917 assigned on October 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Lou Colen Health & Wellness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Lou Colen Health & Wellness Center. The authorized official of this NPI record is Dr. Mitesh G Popat Md (Chief Executive Officer)
- NPI
- 1790156917
- Provider Legal Name
- VENICE FAMILY CLINIC
- Other Organization Name
- LOU COLEN HEALTH & WELLNESS CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4700 INGLEWOOD BLVD SUITE # 101 LOS ANGELES, CA 90230
- Location Phone
- (310) 392-8636
- Location Fax
- (310) 664-7913
- Mailing Address
- 604 ROSE AVE VENICE, CA 90291
- Mailing Phone
- (310) 392-8636
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-14-2015
- Last Update Date
- 09-11-2023
- Code Navigator
A primary care provider (PCP) like Lou Colen Health & Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2132228
- Facility Type
- Other - MEDICAL SRVS TO HOMELESS
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- MICHELLE I. AGUILAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lou Colen Health & Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 5 | 6 | 9 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 5 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 5 + 1 + 2 + 9 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1790156917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649373200 | MS. MARY HELEN SMITH F.N.P. Individual | Registered Nurse (Community Health) | 4700 INGLEWOOD BLVD SUITE #102 CULVER CITY, CA 90230 (310) 392-8630 |
| 1396906152 | DR. ZARIN NASIR TEJANI MD Individual | Pediatrics | 4700 INGLEWOOD BLVD CULVER CITY, CA 90230 (310) 392-8636 |
| 1063827343 | LISA MOORE Individual | Family Medicine | 4700 INGLEWOOD BLVD CULVER CITY, CA 90230 (310) 392-8636 |
| 1003842360 | VENICE FAMILY CLINIC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 4700 INGLEWOOD BLVD #102 CULVER CITY, CA 90230 (310) 392-8636 |
| 1992966782 | VENICE FAMILY CLINIC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 4700 INGLEWOOD BLVD #102 CULVER CITY, CA 90230 (310) 392-8636 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790156917, enumerated in the NPI registry as an "organization" on October 14, 2015
The provider is located at 4700 Inglewood Blvd Suite # 101 Los Angeles, Ca 90230 and the phone number is (310) 392-8636
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 05D2132228 for a "other - medical srvs to homeless" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 14, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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