SearchCalifornia101YA0400X

George Graveline, CADC II #A062350323

NPI 1376909432 · on the registry since 2016

Practice

Address
641 Broadway St
King City, CA 93930
Phone
(813) 525-8181
Fax
(831) 525-8130
Organisation at this address
Sun Street Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-23

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