340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH09489S VENICE FAMILY CLINIC (Active)
Print
Main Details
Name
VENICE FAMILY CLINIC
Subdivision Name
Venice Family Clinic - allcove
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037710
340B ID
CH09489S
Grant Number
H80CS04217
Additional Details
Current Program Status
Active
Registration Date
2/28/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/29/2024
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Venice Family Clinic
Mitesh G Popat, CEO
(310) 664-7901
Primary Contact
Venice Family Clinic
Isabela Mihai, Chief Compliance Officer
(310) 593-9594
Addresses
Street Address
514 N Prospect Ave, Ste 400
Redondo Beach, CA 90277-3040
Billing Address
Venice Family Clinic
604 Rose Avenue
Venice, CA 90291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session