| Brian H. Graham MD Inc | |
|
6455 La Jolla Blvd #315 La Jolla CA 92037-6627 | |
| (619) 665-2159 | |
| (858) 836-1159 |
| Full Name | Brian H. Graham MD Inc |
|---|---|
| Speciality | General Practice |
| Location | 6455 La Jolla Blvd, La Jolla, California |
| Authorized Official Name and Position | Brian H Graham (PRESIDENT) |
| Authorized Official Contact | 6196652159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian H. Graham MD Inc 6455 La Jolla Blvd #315 La Jolla CA 92037-6627 Ph: (619) 665-2159 | Brian H. Graham MD Inc 6455 La Jolla Blvd #315 La Jolla CA 92037-6627 Ph: (619) 665-2159 |
| NPI Number | 1437538725 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437538725 | NPI | - | NPPES |
| E90629 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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