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Organization

GRACE MEDICAL CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH KANG (PRESIDENT)
(213) 383-7474
Entity
Organization

Contact information

Practice address
722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
(213) 383-7474
Mailing address
722 S WESTERN AVE, LOS ANGELES, CA 90005-3112
(213) 383-7474

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G34033
CA

Other

Enumeration date
08/16/2006
Last updated
01/31/2008
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