Gracelight Community Health
Doing business as Queenscare Health Centers
Federally qualified health center in Los Angeles, CA, Medicare certification number 921825.
Medicare certification
Provider of Services- CCN
- 921825
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Dec 13, 2019
- Last certification
- Dec 13, 2019
- Address
- 303 Loma Drive, Suite 202
Los Angeles, CA 90017
(323) 669-4302
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1740835743
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.