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Organization

GRACELIGHT COMMUNITY HEALTH

Active
Other names
Gracelight Community Health - Mobile 2
Organization subpart
No

Provider details

NPI number
Authorized official
MARINA SNITMAN (CHIEF OPERATING OFFICER)
(323) 635-1153
Entity
Organization

Contact information

Practice address
4816 E 3RD ST, LOS ANGELES, CA 90022-1602
(323) 780-4510
Mailing address
4816 E 3RD ST, LOS ANGELES, CA 90022-1602
(323) 780-4510

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/02/2025
Last updated
07/03/2025
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