Individual
GRACE CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2673
Mailing address
401 S BURNSIDE AVE, #1L, LOS ANGELES, CA 90036-5372
(323) 931-3636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12396
CA
Other
Enumeration date
08/26/2005
Last updated
11/30/2021
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