# GRACE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851404933
- **Authorized official:** JOSEPH KANG (PRESIDENT)
- **Authorized official phone:** (213) 383-7474

## Contact information

- **Practice address:** 722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
- **Practice address phone:** (213) 383-7474
- **Mailing address:** 722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
- **Mailing address phone:** (213) 383-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G34033 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 01/31/2008
