Individual
ANGEL ADRIAN GRACIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
275 VICTORIA ST STE H, COSTA MESA, CA 92627-1906
(949) 629-2860
Mailing address
13371 SAFFORD ST, GARDEN GROVE, CA 92843-2710
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
753457
CA
Other
Enumeration date
09/06/2025
Last updated
10/22/2025
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