| Grace Family Medical Center, Inc. | |
|
2100 S Euclid St Ste 102 Anaheim CA 92802-4572 | |
| (714) 638-1347 | |
| (714) 534-2098 |
| Full Name | Grace Family Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 S Euclid St Ste 102, Anaheim, California |
| Authorized Official Name and Position | Won Kim (PRESIDENT) |
| Authorized Official Contact | 7146381347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Medical Center, Inc. 2100 S Euclid St Ste 102 Anaheim CA 92802-4572 Ph: (714) 638-1347 | Grace Family Medical Center, Inc. 2100 S Euclid St Ste 102 Anaheim CA 92802-4572 Ph: (714) 638-1347 |
| NPI Number | 1861707986 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 12/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861707986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A101111 (California) | Primary |
| 208000000X | Pediatrics | A101111 (California) | Secondary |
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