Healthcare Provider Details

I. General information

NPI: 1174380588
Provider Name (Legal Business Name): N.O.A.H'S FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 S SPRING ST UNIT 13308
LOS ANGELES CA
90013-3215
US

IV. Provider business mailing address

340 NIETO AVE
LONG BEACH CA
90814-1845
US

V. Phone/Fax

Practice location:
  • Phone: 424-307-4531
  • Fax:
Mailing address:
  • Phone: 424-307-4531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTNEY NICOLE FRAZIER
Title or Position: FOUNDER AND EXECUTIVE DIRECTOR
Credential:
Phone: 310-527-1701