Organization
GRACE LEE PENG, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MELLO (BILLING MANAGER)
(415) 533-4493
Entity
Organization
Contact information
Practice address
324 S BEVERLY DR # 150, BEVERLY HILLS, CA 90212-4801
(415) 533-4493
Mailing address
324 S BEVERLY DR # 150, BEVERLY HILLS, CA 90212-4801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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