Grace Family Medical Group

LBN: Grace Family Medical Group
Grace Family Medical Group is an health care organization with primary practice located at 2100 S Euclid St Suite 101, Anaheim CA 92802. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Grace Family Medical Group can be contacted via phone (714) 638-1347, or through Shin, James S via phone (714) 638-1347.

Contact Information

Primary practice address
2100 S Euclid St Suite 101 Anaheim CA 92802
Phone: (714) 638-1347
Fax: (714) 534-2098
Website:
Map and Directions
Authorized official contact:
Name: Shin, James S Doctor of Medicine (MD)
Phone: (714) 638-1347

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A49058 California

Profile Details

NPI number 1265489850
LBN Legal business name Grace Family Medical Group
DBA Doing business as
Authorized official Shin, James S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265489850 NPPES
Other ZZZ29510Z BLUE SHIELD
MEDICAID 0251124 BLUE SHIELD

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