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Individual

ELIZABETH ROSALINA GRAMILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 W LA VETA AVE STE 660&470, ORANGE, CA 92868-4231
(714) 509-8481
Mailing address
280 NEWPORT CENTER DR STE 230, NEWPORT BEACH, CA 92660-7539

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA

Other

Enumeration date
08/17/2021
Last updated
12/10/2025
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