Provider Demographics
NPI:1447506506
Name:GRACE HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:GRACE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:HO
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-445-1140
Mailing Address - Street 1:2410 CAMINO RAMON
Mailing Address - Street 2:STE 135
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4334
Mailing Address - Country:US
Mailing Address - Phone:925-858-8864
Mailing Address - Fax:510-614-5882
Practice Address - Street 1:2410 CAMINO RAMON
Practice Address - Street 2:STE 135
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4334
Practice Address - Country:US
Practice Address - Phone:925-858-8864
Practice Address - Fax:510-614-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based