GRACELIGHT COMMUNITY HEALTH

NPI # 

Practice Address:

150 N Reno St

Los Angeles, CA, 90026-4656

Practice Phone:

213-380-7298

Practice Fax:

213-385-1123

License Number:

960000219

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X