Organization
GRACE HUNTER, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE HUNTER D.O. (PRESIDENT)
(949) 837-9945
Entity
Organization
Contact information
Practice address
418 QUAIL RDG, IRVINE, CA 92603-4228
(949) 837-9945
(949) 305-3380
Mailing address
PO BOX 51473, IRVINE, CA 92619-1473
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H89578
LICENCE NUMBER
CA
Enumeration date
04/26/2007
Last updated
08/22/2020
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