Individual
MS. GRACE MI CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 215, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 215, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23397
CA
Other
Enumeration date
01/17/2014
Last updated
08/11/2014
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