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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/Center

General Provider Information

NPI Number : 1154066082
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS HEALTHCARE FOUNDATION
Provider Business Mailing Address
First Line : 19300 S HAMILTON AVE STE 110111
Second Line :
City : GARDENA
State : CA
Zip : 90248-4400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1613 ALTON RD
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2420
Country : US
Telephone Number : 305-538-1400
Fax Number :
Authorized Official
Title or Position : CHIEF PHARMACY MANAGER
Name : SCOTT CARRUTHERS
Credential :
Telephone Number : 323-860-5266
Provider Enumeration Date : 05/04/2022
Last Update Date : 05/04/2022

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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