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 last year |
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
-
Women'S & Children'S Hospital Pharmacy
1240 N Mission Rd Trlr 7B , Los Angeles CA 90033-1019 -
Gracelight Community Health
4816 E 3Rd St , Los Angeles CA 90022-1602 -
Martin Luther King Jr. Multiservice Ambulatory Care Center
12021 Wilmington Ave Room# B068, Los Angeles CA 90059-3019 -
Watts Clinic Pharmacy
10300 Compton Ave , Los Angeles CA 90002-3628 -
Anthony Martin Mills, M.D., Pharmacy Inc.
9201 W Sunset Blvd Ste 812 , Los Angeles CA 90069-3709 -
Eisner Pediatric And Family Medical Center
1500 S Olive St , Los Angeles CA 90015-3023 -
Los Angeles Christian Health Centers
1625 E 4Th St , Los Angeles CA 90033-4201 -
California State University Los Angeles Student Health Ctr. Pharmacy
5151 State University Dr Csula Student Health Center Pharmacy, Los Angeles CA 90032-4226