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Organization
GRACE FAMILY MEDICAL CENTER, INC.
Active
Organization
GRACE FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WON KIM M.D. (PRESIDENT)
(714) 638-1347
Entity
Organization
Contact information
Practice address
2100 S EUCLID ST STE 102, ANAHEIM, CA 92802-4572
(714) 638-1347
(714) 534-2098
Mailing address
2100 S EUCLID ST STE 102, ANAHEIM, CA 92802-4572
(714) 638-1347
(714) 534-2098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A101111
CA
208000000X
Pediatrics Physician
A101111
CA
Other
Enumeration date
08/12/2010
Last updated
12/23/2010
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