MEDICARE: AIDS HEALTHCARE FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1568088029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDS HEALTHCARE FOUNDATION

Provider Business Mailing Address
First Line	:	6255 W SUNSET BLVD FL 21
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7422
Country	:	US
Telephone Number	:	323-860-5244
Fax Number	:

Provider Business Practice Location Address
First Line	:	4890 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9644
Country	:	US
Telephone Number	:	225-769-3922
Fax Number	:	225-769-3933

Authorized Official
Title or Position	:	CFO
Name	:	LYLE HONIG MOJICA
Credential	:
Telephone Number	:	323-860-5305

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	04/23/2025

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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