Most Relevant Information
Provider Data
| NPI Number: | 1003254558 |
| Provider Name: | HAE YOON GRACE CHOUNG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | 286191 |
Most Important Dates
| Enumeration Date: | 06/06/2013 |
| Last Updated: | 02/03/2023 |
Provider Practice Location
8700 BEVERLY BLVD
WEST HOLLYWOOD
CA
900481804
Practice Location Phone/Fax
| Phone: | 3104236623 |
| Fax: |
Provider Mailing Location
601 ELMWOOD AVENUE
BOX 626
ROCHESTER
NY
146420001
Provider Mailing Phone/Fax
| Phone: | 5852734135 |
| Fax: | 5852733637 |