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Organization
GRACE MEDICAL CENTER, INC.
Active
Organization
GRACE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KANG (PRESIDENT)
(213) 383-7474
Entity
Organization
Contact information
Practice address
722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
(213) 383-7474
Mailing address
722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
(213) 383-7474
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G34033
CA
Other
Enumeration date
08/16/2006
Last updated
01/31/2008
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