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General NPI Number Information
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NPI Number | 1457334344
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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 | 11/23/2005
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 518A CASTRO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2512
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Country | US
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Telephone | 415-552-2814
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Fax | 415-552-2909
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 221
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City | LOS ANGELES
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State | CA
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Zip | 90028-7403
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Country | US
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Telephone | 323-860-5200
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Fax | 833-241-7615
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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 | 323-860-5305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 550000066
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License Number State | CA
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