| Grace Family Medical Group | |
|
2100 S Euclid St Suite 101 Anaheim CA 92802 | |
| (714) 638-1347 | |
| (714) 534-2098 |
| Full Name | Grace Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 S Euclid St, Anaheim, California |
| Authorized Official Name and Position | James S Shin (PRESIDENT) |
| Authorized Official Contact | 7146381347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Medical Group 2100 S Euclid St Suite 101 Anaheim CA 92802 Ph: (714) 638-1347 | Grace Family Medical Group 2100 S Euclid St Suite 101 Anaheim CA 92802 Ph: (714) 638-1347 |
| NPI Number | 1265489850 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265489850 | NPI | - | NPPES |
| ZZZ29510Z | Other | BLUE SHIELD | |
| 0251124 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A49058 (California) | Primary |
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