Organization · Type 2 NPI

Grace at Home PC

Family Medicine Physician · Long Beach, CA

NPI number 1609736875 Active

Practice location

111 W. Ocean Blvd, Floor 4, Room 450
Long Beach, CA 90802

Mailing address

2300 N St NW Ste 200
Washington, DC 20037-1353

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1609736875

Grace at Home PC's National Provider Identifier is 1609736875, issued on Nov 12, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Long Beach, CA. The record was last updated on Aug 26, 2026.