Organization
AIDS HEALTHCARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA STIDHAM (CHIEF OF MANAGED CARE)
(323) 436-5025
Entity
Organization
Contact information
Practice address
6255 W SUNSET BLVD, SUITE 2100, LOS ANGELES, CA 90028-7403
(323) 860-5200
(323) 962-8513
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(833) 241-7615
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70454F
—
CA
05
—
CMM70545F
—
CA
05
—
CMM70573F
—
CA
05
—
CMM70581F
—
CA
05
—
GR0049950
—
CA
Enumeration date
01/10/2008
Last updated
09/11/2019
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