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Individual

DR. GRACE CHAN OEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
LLUMC, HOUSE STAFF OFFICE CP 21005, 11234 ANDERSON STREET, LOMA LINDA, CA 92354-2741
(909) 558-4000
Mailing address
LOMA LINDA UNIVERSITY FACULTY MEDICAL GROUP, 11175 CAMPUS STREET, LOMA LINDA, CA 92350
(909) 558-4250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A94619
CA
208000000X
Pediatrics Physician
A94619
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A94619
CA

Other

Enumeration date
05/29/2007
Last updated
08/31/2017
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