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NPI Code Detail

MEDICARE: MISS GRACE J. YUN MSW

MEDICARE: MISS GRACE J. YUN MSW
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1174721237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GRACE J. YUN MSW
Provider Business Mailing Address
First Line : 922 S CITRUS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-4929
Country : US
Telephone Number : 323-896-4083
Fax Number :
Provider Business Practice Location Address
First Line : 2500 WILSHIRE BLVD STE 500
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-4310
Country : US
Telephone Number : 626-254-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 07/10/2007

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