GRACELIGHT COMMUNITY HEALTH

NPI # 

Practice Address:

4448 York Blvd

Los Angeles, CA, 90041-3328

Practice Phone:

323-344-5233

Practice Fax:

323-344-5237

License Number:

960001125

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X