| Grace Geriatric Care Inc | |
|
8883 Westminster Ave Garden Grove CA 92844-2608 | |
| (657) 208-2221 | |
| (657) 400-9174 |
| Full Name | Grace Geriatric Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8883 Westminster Ave, Garden Grove, California |
| Authorized Official Name and Position | Peter Trung-thuy Le (CO-OWNER) |
| Authorized Official Contact | 9498779194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Geriatric Care Inc 8883 Westminster Ave Garden Grove CA 92844-2608 Ph: (657) 208-2221 | Grace Geriatric Care Inc 8883 Westminster Ave Garden Grove CA 92844-2608 Ph: (657) 208-2221 |
| NPI Number | 1023652914 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 6002240447 |
|---|---|
| Medicare Enrollment ID | O20191218001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023652914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649234949 PECOS PAC ID: 9234103953 Enrollment ID: I20051128000255 |
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