Individual
DR. ENRIQUE IGNACIO GRACIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1127 WILSHIRE BLVD STE 1218, LOS ANGELES, CA 90017-4003
(213) 712-9595
Mailing address
1127 WILSHIRE BLVD STE 1218, LOS ANGELES, CA 90017-4003
(213) 712-9595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33183
CA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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