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General NPI Number Information
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NPI Number | 1154217545
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Entity Type | Organization
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Legal Business Name | AIDS HEALTHCARE FOUNDATION
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 400 N BEACH ST STE 100
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City | FORT WORTH
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State | TX
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Zip | 76111-7070
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Country | US
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Telephone | 817-916-5237
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | LYLE HONIG MOJICA
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Credential |
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Telephone | 323-860-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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