# BRIAN H. GRAHAM MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437538725
- **Authorized official:** BRIAN H GRAHAM M.D. (PRESIDENT)
- **Authorized official phone:** (619) 665-2159

## Contact information

- **Practice address:** 6455 LA JOLLA BLVD, \#315, LA JOLLA, CA 92037-6627
- **Practice address phone:** (619) 665-2159
- **Practice address fax:** (858) 836-1159
- **Mailing address:** 6455 LA JOLLA BLVD, \#315, LA JOLLA, CA 92037-6627
- **Mailing address phone:** (619) 665-2159
- **Mailing address fax:** (858) 836-1159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | E90629 | — | CA |