# GRAHAM A. PURCELL, M.D., INC.

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

## Provider details

- **NPI number:** 1619166998
- **Authorized official:** DR. GRAHAM A PURCELL M.D., INC. (OWNER PHYSICIAN AND SURGEON)
- **Authorized official phone:** (818) 986-0200

## Contact information

- **Practice address:** 17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
- **Practice address phone:** (818) 986-0200
- **Practice address fax:** (818) 933-8961
- **Mailing address:** 17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
- **Mailing address phone:** (818) 986-0200
- **Mailing address fax:** (818) 933-8961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A30741 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 04/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609961382 | INDIVIDUAL NPI | CA |