| Aids Healthcare Foundation | |
|
1414 S Grand Ave Suite 485 Los Angeles CA 90015-3067 | |
| (323) 436-5019 | |
| Not Available |
| Full Name | Aids Healthcare Foundation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1414 S Grand Ave, Los Angeles, California |
| Authorized Official Name and Position | Donna Stidham (CHIEF OF MANAGED CARE) |
| Authorized Official Contact | 3234365025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Healthcare Foundation 6255 W Sunset Blvd Los Angeles CA 90028-7403 Ph: (323) 860-5200 | Aids Healthcare Foundation 1414 S Grand Ave Suite 485 Los Angeles CA 90015-3067 Ph: (323) 436-5019 |
| NPI Number | 1366884199 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366884199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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