| Grace Kwon Corporation | |
|
1950 E 17th St Ste 150 Santa Ana CA 92705-6852 | |
| (714) 371-6977 | |
| Not Available |
| Full Name | Grace Kwon Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1950 E 17th St Ste 150, Santa Ana, California |
| Authorized Official Name and Position | Luisa Davis (BILLING) |
| Authorized Official Contact | 7149972674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Kwon Corporation 17452 Irvine Blvd Ste 213 Tustin CA 92780-3031 Ph: (657) 346-2080 | Grace Kwon Corporation 1950 E 17th St Ste 150 Santa Ana CA 92705-6852 Ph: (714) 371-6977 |
| NPI Number | 1255898706 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255898706 | NPI | - | NPPES |
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