1952716441 GRACELIGHT COMMUNITY HEALTH

Clinic Pharmacy

Active

Basic Information

Organization Name
GRACELIGHT COMMUNITY HEALTH
Enumeration Date
June 24, 2014
Last Update
May 20, 2024
Authorized Official
MARINA SNITMAN PHARMD
CHIEF OPERATING OFFICER
Phone: (323) 635-1153

Practice Location

Address
4618 FOUNTAIN AVE
LOS ANGELES, CA 900291977
Phone
(323) 953-7170
Fax
(323) 669-2379

Mailing Address

Address
4816 E 3RD ST
LOS ANGELES, CA 900221602
Phone
(323) 635-1153

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
333600000X Pharmacy N/A N/A No
Clinic Pharmacy
Clinic Pharmacy
3336C0002X Pharmacy N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
55-1895 01 CA MEDICARE FQHC PROVIDER NUMBER
CMM70660F 05 CA N/A
FHC70660F 01 CA MEDI-CAL FQHC PROVIDER NUMBER
W6997D 01 CA MEDICARE PROVIDER NUMBER

Frequently Asked Questions

What is GRACELIGHT COMMUNITY HEALTH's NPI number?
GRACELIGHT COMMUNITY HEALTH's NPI number is 1952716441.
Which doctor has NPI number 1952716441?
The doctor with NPI number 1952716441 is GRACELIGHT COMMUNITY HEALTH.
What is GRACELIGHT COMMUNITY HEALTH's practice address?
GRACELIGHT COMMUNITY HEALTH's practice address is 4618 FOUNTAIN AVE, LOS ANGELES, CA, 900291977.
Which doctor practices at 4618 FOUNTAIN AVE, LOS ANGELES, CA, 900291977?
GRACELIGHT COMMUNITY HEALTH practices at 4618 FOUNTAIN AVE, LOS ANGELES, CA, 900291977.
What is GRACELIGHT COMMUNITY HEALTH's mailing address?
GRACELIGHT COMMUNITY HEALTH's mailing address is 4816 E 3RD ST, LOS ANGELES, CA, 900221602.
What is GRACELIGHT COMMUNITY HEALTH's phone number?
GRACELIGHT COMMUNITY HEALTH's phone number is (323) 953-7170.
Who is (323) 953-7170?
(323) 953-7170 is the phone number for GRACELIGHT COMMUNITY HEALTH.
What is GRACELIGHT COMMUNITY HEALTH's specialty?
GRACELIGHT COMMUNITY HEALTH's specialty is Clinic Pharmacy.
What type of doctor is GRACELIGHT COMMUNITY HEALTH?
GRACELIGHT COMMUNITY HEALTH is a Clinic Pharmacy.
Is GRACELIGHT COMMUNITY HEALTH a Clinic Pharmacy?
Yes, GRACELIGHT COMMUNITY HEALTH is a Clinic Pharmacy.
Is GRACELIGHT COMMUNITY HEALTH still practicing?
Yes, GRACELIGHT COMMUNITY HEALTH is currently practicing.
Is GRACELIGHT COMMUNITY HEALTH accepting new patients?
GRACELIGHT COMMUNITY HEALTH may be accepting new patients. Please call their office at (323) 953-7170 to inquire about availability.
Is NPI 1952716441 still active?
Yes, NPI 1952716441 is currently active.
Where does GRACELIGHT COMMUNITY HEALTH practice?
GRACELIGHT COMMUNITY HEALTH practices in LOS ANGELES, CA.