Search › California › 171M00000X
Mario Granville
NPI 1164859781 · on the registry since 2013
Practice
- Address
- 456 Elm Ave
Long Beach, CA 90802 - Phone
- (562) 437-6717
- Organisation at this address
- Mha Village
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 282
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-27
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