Individual
MRS. GRACE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1019 FOOTHILL BLVD, LA CANADA, CA 91011-3221
(818) 361-5437
Mailing address
6677 SANTA MONICA BLVD APT 3220, LOS ANGELES, CA 90038-1589
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95023460
CA
Other
Enumeration date
10/29/2020
Last updated
02/10/2023
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