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Organization
EJW INC
Active
Organization
EJW INC
Active
Other names
GRACE FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EHUM MD (PRESIDENT)
(562) 865-3738
Entity
Organization
Contact information
Practice address
18331 GRIDLEY RD, SUITE A, CERRITOS, CA 90703-5438
(562) 865-3738
Mailing address
18331 GRIDLEY RD, SUITE A, CERRITOS, CA 90703-5438
(562) 865-3738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97838
CA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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