Individual
GRACE LEE PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, #4136, LOS ANGELES, CA 90033-1029
(323) 226-7315
Mailing address
1200 N STATE ST, #4136, LOS ANGELES, CA 90033-1029
(323) 226-7315
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A117185
CA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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