MEDICARE: DR. GRACE R NEUMAN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20A12990	CA

General Provider Information

NPI Number	:	1407115959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRACE R NEUMAN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 12232
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90295-3232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 E VERNON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-3717
Country	:	US
Telephone Number	:	323-908-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	03/03/2025

Similar Medicare Providers

1649792615 — SOUTH CENTRAL FAMILY HEALTH CENTER
Practice Location Address:

1028 E VERNON AVE
LOS ANGELES, CA
90011-3717

Practice Phone: 323-908-4200
Practice Fax: 323-908-4256

1962978445 — MAGDELIA ROSAS RDN
Practice Location Address:

1028 E VERNON AVE
LOS ANGELES, CA
90011-3717

Practice Phone: 323-908-4200
Practice Fax:

1396467320 — CHO MAR WIN FNP
Practice Location Address:

1028 E VERNON AVE
LOS ANGELES, CA
90011-3717

Practice Phone: 323-908-4200
Practice Fax:

1821818121 — MARIA ESQUIVIAS NP-BC
Practice Location Address:

1028 E VERNON AVE
LOS ANGELES, CA
90011-3717

Practice Phone: 323-908-4200
Practice Fax:

1013015601 — ADVANCED DYNAMICS INC
Practice Location Address:

3717 S LA BREA AVE , SUITE 204
LOS ANGELES, CA
90016-5354

Practice Phone: 323-295-5836
Practice Fax:

1326188210 — SUZANNA S NEGUSSIE MD
Practice Location Address:

3717 S LA BREA AVE STE 201
LOS ANGELES, CA
90016-5354

Practice Phone: 323-292-5600
Practice Fax: 323-292-5611

Directions to “ DR. GRACE R NEUMAN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.