Organization · Type 2 NPI

Gracelight Community Health

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

NPI number 1104075282 Active

Practice location

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

Call (323) 780-4510 Map

Fax (323) 780-6132

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1104075282

Gracelight Community Health's National Provider Identifier is 1104075282, issued on Sep 15, 2008. 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 Oct 29, 2025.