Organization Name: | GRACE FAMILY HEALTH, INC. |
NPI Number: | 1033426028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LILY YUNG PHILLIPS (PRESIDENT) |
Mailing Address: | 24910 Las Brisas Rd Suite 106 Murrieta |
State: | CA US |
Postal Code: | 925624010 |
Phone Number: | 8883900401 |
Fax Number: | 8886042214 |
NPI Enumeration Date: | 09/12/2010 |
NPI Last Update Date: | 08/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | A066038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |