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Individual

DR. GRACE INGAN CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10945 LE CONTE AVE, SUITE 2339, LOS ANGELES, CA 90095-1687
(310) 825-8253
(310) 794-2199
Mailing address
10945 LE CONTE AVE, SUITE 2339, LOS ANGELES, CA 90095-1687
(310) 825-8253
(310) 794-2199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A93707
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A93707
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A937070
CA
Enumeration date
06/05/2007
Last updated
01/12/2012
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