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Organization

LAC USC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE HWANG M.D. (RESIDENT)
(323) 409-5876
Entity
Organization

Contact information

Practice address
1510 SAN PABLO ST STE 514, LOS ANGELES, CA 90033-5324
(323) 442-5908
Mailing address
1510 SAN PABLO ST STE 514, LOS ANGELES, CA 90033-5324

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
06/30/2012
Last updated
06/30/2012
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