Organization
FOUNTAIN OF COMFORT
Active
Organization
FOUNTAIN OF COMFORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB FATURECHI (EXECUTIVE DIRECTOR)
(310) 849-8024
Entity
Organization
Contact information
Practice address
3166 S SEPULVEDA BLVD UNIT 20, LOS ANGELES, CA 90034-4222
(310) 849-8024
Mailing address
14500 ROSCOE BLVD FL 4, PANORAMA CITY, CA 91402-4194
(310) 849-8024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/28/2026
Last updated
08/28/2026
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