# STEPHEN P. GRAHAM, M.D., INC.

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

## Provider details

- **NPI number:** 1851512677
- **Authorized official:** DR. STEPHEN PATRICK GRAHAM M.D. (PHYSICIAN)
- **Authorized official phone:** (562) 597-9002

## Contact information

- **Practice address:** 1760 TERMINO AVE., SUITE G-21, LONG BEACH, CA 90804
- **Practice address phone:** (562) 597-9002
- **Practice address fax:** (562) 597-9003
- **Mailing address:** PO BOX 1326, BREA, CA 92822
- **Mailing address phone:** (562) 597-9002
- **Mailing address fax:** (562) 597-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G43382 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G433821 | BLUE SHIELD | — |