GRACE MEDICAL CENTER, INC. (NPI# 1851404933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404933 |
| Entity Type | Organization |
| Organization Name | GRACE MEDICAL CENTER, INC. |
| Practice Address |
722 S Western Ave Los Angeles CA 90005-3112 |
| Practice Telephone | 2133837474 |
| Mailing Telephone | 2133837474 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | JOSEPH KANG (PRESIDENT) |
| Authorized Official Telephone | 2133837474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G34033 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996807 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr, Baltimore, MD 21215-3222 | 2011-05-11 |
| 1679718696 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St Rm Ew333, Baltimore, MD 21223-1558 | 2008-12-04 |
| 1295954451 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2007-04-25 |
| 1326265653 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Drive, Baltimore, MD 21215-3222 | 2007-04-19 |
| 1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
| 1922081231 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-11-22 |
| 1427694793 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2019-11-21 |
| 1336590868 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-27 |
| 1770934390 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-24 |
| 1407207020 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRACE MEDICAL CENTER, INC. | 2000 West Baltimore St, Baltimore, MD 21223-1558 |
| Street Address |
722 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164549655 | Gershon Hepner | Internal Medicine | 722 S Western Ave, Los Angeles, CA 90005-3112 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1568001584 | Ahdout Health Services, Inc. | General Practice | 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 | 2019-12-23 |
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1972064004 | Divine Help Medical Group Inc | General Practice | 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 | 2019-03-29 |
| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on GRACE MEDICAL CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.