Individual
GRACE DEUKMEDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LECONTE AVE, SUITE 265, LOS ANGELES, CA 90095-0001
(310) 825-0867
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A30408
CA
Other
Enumeration date
04/04/2010
Last updated
09/10/2013
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