Grace Medical Ipa
NPI #1205140969 in Buena Park, California
Provider Information
- NPI Number
- 1205140969
- Entity Type
- Organization
- Organization Name
- Grace Medical Ipa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 4, 2010
- Last Updated
- Aug 4, 2010
Practice Location
- Address
- 6301 BEACH BLVD STE 282
- City
- Buena Park
- State
- California
- ZIP Code
- 90621-4040
- Phone
- (714) 690-0080
Authorized Official
- Name
- JOSEPH D CHUN, MD
- Title
- PRESIDENT
- Phone
- (714) 690-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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