NPI | 1215472048 |
---|---|
Doing Business As | GRACE FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN EHUM President 562-865-3738 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A97838) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2017-01-03 |