OrganizationActive
Gracelight Community Health
NPI 1992106082 · Clinic Pharmacy · Los Angeles, CA
Provider details
- NPI number
- 1992106082
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Marina Snitman, Chief Operating Officer(323) 635-1153
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4816 E 3rd St
Los Angeles, CA 90022-1602
Phone: (323) 780-4510
Fax: (323) 780-6132
Street-level locationGet directions
Mailing address
4816 E 3rd St
Los Angeles, CA 90022-1602
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.