institution
Gracelight Community Health
Federally Qualified Health Center (FQHC) in Los Angeles, California
NPI 1639241888

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 1639241888 and holds a License No. 960000926 (California).

The current practice location address for Gracelight Community Health is 4618 Fountain Ave, Los Angeles, CA and can be reached out via phone at 323-953-7170 and via fax at 323-663-2379.

Location: 4618 Fountain Ave, Los Angeles, CA, 90022-1602
institution
Provider Profile Details
NPI Number
1639241888
Provider Name
Gracelight Community Health
Credential
Provider Entity Type
Organization
Address
4618 Fountain Ave, Los Angeles, CA, 90022-1602
Phone Number
323-953-7170
Fax Number
323-663-2379
Provider Enumeration Date
11/14/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
4618 Fountain Ave
City
State
Zip
90029-1830
Phone Number
323-953-7170
Fax Number
323-663-2379
person
Provider Business Mailing Address Details
Address
4618 Fountain Ave
City
State
Zip
90029-1830
Phone Number
323-953-7170
Fax Number
323-663-2379
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
960000926 (California)
Definition
Definition to come...
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