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NPI Code Detail

MEDICARE: AIDS HEALTHCARE FOUNDATION

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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1780959783
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 : 323-860-5200
Fax Number : 883-241-7615
Provider Business Practice Location Address
First Line : 1516 E COLONIAL DR
Second Line : SUITE 210
City : ORLANDO
State : FL
Zip : 32803-4740
Country : US
Telephone Number : 407-447-1670
Fax Number : 407-447-1671
Authorized Official
Title or Position : CHIEF OF MANAGED CARE
Name : DONNA STIDHAM
Credential :
Telephone Number : 323-436-5025
Provider Enumeration Date : 03/09/2012
Last Update Date : 09/11/2019

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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