Grace Family Medical Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A101111 Issued in CA

Legal business name

GRACE FAMILY MEDICAL CENTER, INC.

Practice address

2100 S Euclid St Ste 102
Anaheim, CA 92802-4572

Phone

(714) 638-1347

Fax

(714) 534-2098

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Won Kim, M.D.

Title

President

Phone

(714) 638-1347

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1861707986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S EUCLID ST STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024572",
            "telephone_number": "714-638-1347",
            "fax_number": "714-534-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S EUCLID ST STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024572",
            "telephone_number": "714-638-1347",
            "fax_number": "714-534-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-638-1347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101111",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramesh A.M. Gowda, DDS
• Seema Goyal, MD
• Magnolia Panganiban Gozun, OTR
• GP Anaheim Ivf, PC
• GPS Hospice Care Inc.
• Grace Family Medical Group
• Grace H Jeon M D M P H F a C S a Professional Corporation
• Grace Young, M.D., Inc.
• Cole Thomas Grace
• Graceful Care Home Health Services Inc.

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.