Gracelight Community Health

LBN: Gracelight Community Health
Gracelight Community Health is an health care organization with primary practice located at 4816 E 3Rd St , Los Angeles CA 90022-1602. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Gracelight Community Health can be contacted via phone (323) 780-4510, or through Snitman, Marina via phone (323) 635-1153.

Contact Information

Primary practice address
4816 E 3Rd St Los Angeles CA 90022-1602
Phone: (323) 780-4510
Fax: (323) 780-6132
Website:
Map and Directions
Authorized official contact:
Name: Snitman, Marina PHARMD
Phone: (323) 635-1153

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1992106082
LBN Legal business name Gracelight Community Health
DBA Doing business as
Authorized official Snitman, Marina PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2014
Last updated May 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992106082 NPPES
California MEDICAID CMM70660F
California Other W6997D
California Other 55-1019
California Other PHY 52564

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