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Organization
SOUTHERN CALIFORNIA PSYCHIATRIC ASSOCIATES INC.
Active
Organization
SOUTHERN CALIFORNIA PSYCHIATRIC ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRANESE M.D. (OWNER)
(949) 489-5564
Entity
Organization
Contact information
Practice address
28 MONARCH BAY PLZ, SUITE N, DANA POINT, CA 92629-3460
(949) 489-5564
(949) 493-9350
Mailing address
28 MONARCH BAY PLZ, SUITE N, DANA POINT, CA 92629-3460
(949) 489-5564
(949) 493-9350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A83535
CA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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