Individual
JOSEPH RANDOLPH GAVRANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1 PARK PLZ STE 600, IRVINE, CA 92614-5987
(856) 404-5284
Mailing address
2050 N TUSTIN AVE, SANTA ANA, CA 92705-7827
(714) 617-2530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037693
CA
Other
Enumeration date
12/31/2025
Last updated
04/06/2026
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