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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
13336C0002XClinic PharmacyPHY45735CA
23336C0003XCommunity/Retail Pharmacy
33336S0011XSpecialty Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11997918OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396767554
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS HEALTHCARE FOUNDATION
Provider Business Mailing Address
First Line : 18421 S MAIN ST
Second Line :
City : GARDENA
State : CA
Zip : 90248-4609
Country : US
Telephone Number : 310-999-6089
Fax Number : 833-261-3712
Provider Business Practice Location Address
First Line : 8641 WILSHIRE BLVD STE 200
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2920
Country : US
Telephone Number : 310-854-2330
Fax Number : 888-972-6504
Authorized Official
Title or Position : SR.MGR/CHIEF PHARM. OFFICER
Name : KENNETH SCOTT CARRUTHERS
Credential :
Telephone Number : 323-860-5266
Provider Enumeration Date : 07/24/2006
Last Update Date : 12/03/2025

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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