SearchCalifornia101YA0400X

Gabriel Mcgrade

NPI 1790482701 · on the registry since 2023 · sole proprietor

Practice

Address
12208 Riverside Dr
Valley Village, CA 91607
Phone
(323) 252-2685

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
2023-02-09

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