MEDICARE: RESTORATION OF FAITH

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
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1770434912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION OF FAITH

Provider Business Mailing Address
First Line	:	4122 SANTO TOMAS DR APT B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3208
Country	:	US
Telephone Number	:	213-330-9680
Fax Number	:

Provider Business Practice Location Address
First Line	:	4122 SANTO TOMAS DR APT B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3208
Country	:	US
Telephone Number	:	213-330-9680
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERANISHA TESHEA BESS
Credential	:
Telephone Number	:	310-709-9393

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “RESTORATION OF FAITH ” Practice Location

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