Global Grace Medical Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLOBAL GRACE MEDICAL SERVICES INC

Practice address

2204 Torrance Blvd,
Suite 102
Torrance, CA 90501-0502

Phone

(424) 488-2030

Fax

(424) 488-2202

NPI assigned

Sep 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Grace Olubukola Adeagbo, FNP-BC

Title

Ceo

Phone

(323) 365-8154

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1306495908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 TORRANCE BLVD,",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905010502",
            "telephone_number": "424-488-2030",
            "fax_number": "424-488-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 TORRANCE BLVD,",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905010502",
            "telephone_number": "424-488-2030",
            "fax_number": "424-488-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL GRACE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ADEAGBO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-365-8154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.