# AIDS HEALTHCARE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245416189
- **Authorized official:** DONNA STIDHAM (CHIEF OF MANAGED CARE)
- **Authorized official phone:** (323) 436-5025

## Contact information

- **Practice address:** 6255 W SUNSET BLVD, SUITE 2100, LOS ANGELES, CA 90028-7403
- **Practice address phone:** (323) 860-5200
- **Practice address fax:** (323) 962-8513
- **Mailing address:** 6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
- **Mailing address phone:** (323) 860-5200
- **Mailing address fax:** (833) 241-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 09/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CMM70454F | — | CA |
| 05 | — | CMM70545F | — | CA |
| 05 | — | CMM70573F | — | CA |
| 05 | — | CMM70581F | — | CA |
| 05 | — | GR0049950 | — | CA |
