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Gracelight Community Health
Federally Qualified Health Center (FQHC) in Los Angeles, California
NPI 1013083666

Gracelight Community Health is a Federally Qualified Health Center (FQHC) based in Los Angeles, CA and is specialized in Federally Qualified Health Center (FQHC). Gracelight Community Health practices in Los Angeles, CA. The NPI Number for Gracelight Community Health is 1013083666 and holds a License No. 960000219 (California).

The current practice location address for Gracelight Community Health is 150 N Reno St, Los Angeles, CA and can be reached out via phone at 213-380-7298 and via fax at 213-385-1123.

Location: 150 N Reno St, Los Angeles, CA, 90022-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013083666
Provider Name
Gracelight Community Health
Credential
Provider Entity Type
Organization
Address
150 N Reno St, Los Angeles, CA, 90022-1602
Phone Number
213-380-7298
Fax Number
213-385-1123
Provider Enumeration Date
11/27/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
150 N Reno St
City
Los Angeles
State
California
Zip
90026-4656
Phone Number
213-380-7298
Fax Number
213-385-1123
person
Provider Business Mailing Address Details
Address
150 N Reno St
City
Los Angeles
State
California
Zip
90026-4656
Phone Number
213-380-7298
Fax Number
213-385-1123
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
960000219 (California)
Definition
Definition to come...
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