Organization · Type 2 NPI

Gracelight Community Health

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1013083666 Active

Practice location

150 N Reno St
Los Angeles, CA 90026-4656

Fax (213) 385-1123

Mailing address

4816 E 3rd St
Los Angeles, CA 90022-1602

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X960000219 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

24 other providers at this address

Other federally qualified health center (fqhc) providers in Los Angeles

See all in Los Angeles →

About NPI 1013083666

Gracelight Community Health's National Provider Identifier is 1013083666, issued on Nov 27, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2024.