Grace H Jeon M D M P H F A C S A Professional Corporation

NPI 1417168758 - Surgery - 208600000X

NPI Details
NPI 1417168758
Enumeration Date 05/25/2007
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GRACE GRACE
Position PRESIDENT
Phone (213) 482-4005
Fax (866) 409-7981
Practice Location
1245 WILSHIRE BLVD
SUITE 907
LOS ANGELES CA, 90017-4809, US
Phone (213) 482-4005
Fax (866) 409-7981
Business Location
1245 WILSHIRE BLVD
SUITE 907
LOS ANGELES CA, 90017-4809, US
Phone (213) 482-4005
Fax (866) 409-7981
Toxanomy
Taxonomy Code 208600000X
License State California
License Number G84081
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According to our database, Grace H Jeon M D M P H F A C S A Professional Corporation NPI is 1417168758, taxonomy code is 208600000X and license number is G84081, license state is located at California. Grace H Jeon M D M P H F A C S A Professional Corporation physically located at 1245 Wilshire Blvd, Los Angeles CA, 90017-4809. NPI Number 1033115704 has the healthcare provider type.

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1417168758 NPI number is provided on an as is basis without warranty of any kind. 1417168758 is maintained by the National Plan & Provider Enumeration System. The contents of Grace H Jeon M D M P H F A C S A Professional Corporation are for informational purposes only.