Organization
GRACE GERIATRIC CARE INC
Active
Organization
GRACE GERIATRIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER TRUNG-THUY LE PAC (CO-OWNER)
(949) 877-9194
Entity
Organization
Contact information
Practice address
8883 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2608
(657) 208-2221
(657) 400-9174
Mailing address
8883 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2608
(657) 208-2221
(657) 400-9174
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/07/2019
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