Gracelight Community Health
LBN: Gracelight Community Health
Gracelight Community Health is an health care organization with primary practice located at 4618 Fountain Ave , Los Angeles CA 90029-1977. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Gracelight Community Health can be contacted via phone (323) 953-7170, or through Snitman, Marina via phone (323) 635-1153.
Contact Information
Primary practice address
4618 Fountain Ave
Los Angeles CA 90029-1977
Phone: (323) 953-7170
Fax: (323) 669-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1952716441 |
|---|---|
| LBN Legal business name | Gracelight Community Health |
| DBA Doing business as | |
| Authorized official | Snitman, Marina PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2014 |
| Last updated | May 20th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952716441 | NPPES |
| California | Other | 55-1895 | MEDICARE FQHC PROVIDER NUMBER |
| California | MEDICAID | CMM70660F | MEDICARE FQHC PROVIDER NUMBER |
| California | Other | FHC70660F | MEDICARE FQHC PROVIDER NUMBER |
| California | Other | W6997D | MEDICARE FQHC PROVIDER NUMBER |
Popular Providers
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Gracelight Community Health
4816 E 3Rd St , Los Angeles CA 90022-1602 -
University Of Southern California
830 S Flower St , Los Angeles CA 90017-4608 -
Anthony Martin Mills, M.D., Pharmacy Inc.
9201 W Sunset Blvd Ste 812 , Los Angeles CA 90069-3709 -
Farmacia Numero 1
115 Thru 119 E Washington Blvd , Los Angeles CA 90015 -
The Los Angeles Free Clinic
5205 Melrose Ave , Los Angeles CA 90038-3144 -
Aids Healthcare Foundation
1400 S Grand Ave Ste 801 , Los Angeles CA 90015-3068 -
Martin Luther King Jr. Multiservice Ambulatory Care Center
12021 Wilmington Ave Room# B068, Los Angeles CA 90059-3019 -
Los Angeles Christian Health Centers
1625 E 4Th St , Los Angeles CA 90033-4201