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Mark Grandpre
NPI 1164186011 · on the registry since 2021
Practice
- Address
- 104 S Roosevelt Ave
Pasadena, CA 91107 - Phone
- (310) 927-3060
- Organisation at this address
- Socal Innovative Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2021-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California