Basic Information
Provider Information
NPI: 1336137934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAF
FirstName: GEORGE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60790
Address2:  
City: PASADENA
State: CA
PostalCode: 911166790
CountryCode: US
TelephoneNumber: 6267956596
FaxNumber:  
Practice Location
Address1: 120 S SPALDING DR
Address2: STE. 301
City: BEVERLY HILLS
State: CA
PostalCode: 902121800
CountryCode: US
TelephoneNumber: 3103857755
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/10/2005
LastUpdateDate: 12/03/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XG64260CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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