JUAN ANGEL GRACIANO LVN NPI 1477998136

NPI Information

NPI: 1477998136
Provider Name: JUAN ANGEL GRACIANO, LVN
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
3940 HOME AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 262-8000
Get Directions

Juan Angel Graciano, LVN is a methadone clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Juan Angel Graciano, LVN NPI is 1477998136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3940 HOME AVE
SAN DIEGO, CA
ZIP 92105-952
Phone: (619) 262-8000
Fax: (619) 266-7405

The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	269870	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »