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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
1261QH0100XHealth Service Clinic/Center960001126CA
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1902880479
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS HEALTHCARE FOUNDATION
Provider Business Mailing Address
First Line : 6255 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7403
Country : US
Telephone Number : 323-860-5200
Fax Number : 833-241-7615
Provider Business Practice Location Address
First Line : 4905 HOLLYWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6101
Country : US
Telephone Number : 323-662-0492
Fax Number :
Authorized Official
Title or Position : CFO
Name : LYLE HONIG MOJICA
Credential :
Telephone Number : 323-860-5305
Provider Enumeration Date : 11/30/2005
Last Update Date : 03/06/2024

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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