Gracelight Community Health
Clinic Pharmacy
4618 Fountain Ave, Los Angeles
California, 90029-1977
323-953-7170 323-669-2379
Gracelight Community Health is a Clinic Pharmacy in Los Angeles, California. It is located at 4618 Fountain Ave, Los Angeles and it's customer support contact number is 323-953-7170. The authorized person of Gracelight Community Health is Marina Snitman, PHARMD who is Chief Operating Officer of the pharmacy and his contact number is 323-635-1153.
Gracelight Community Health is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Gracelight Community Health type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Gracelight Community Health |
| Type: | Clinic Pharmacy |
| Location: | 4618 Fountain Ave, Los Angeles,
California, 90029-1977 |
| Phone: | 323-953-7170 |
| Fax: | 323-669-2379 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Marina Snitman |
| Credentials: | PHARMD |
| Position: | Chief Operating Officer |
| Contact Number: | 323-635-1153 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1952716441 |
| NPI Enumeration Date: | 24 Jun, 2014 |
| NPI Last Update On: | 20 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gracelight Community Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 55-1895 | Other | California | Medicare Fqhc Provider Number |
| CMM70660F | Medicaid | California | |
| FHC70660F | Other | California | Medi-cal Fqhc Provider Number |
| W6997D | Other | California | Medicare Provider Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4816 E 3rd St,
Los Angeles, California |
| Zip: | 90022-1602 |
| Phone Number: | 323-635-1153 |
Patients can reach Gracelight Community Health at
4618 Fountain Ave, Los Angeles, California or can
call on customer care at 323-953-7170.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.