Organization
GRAHAM MOUW, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAE VARON (CREDENTIALING)
(818) 895-2126
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 324, TARZANA, CA 91356-3647
(818) 895-2126
(818) 304-7546
Mailing address
5525 ETIWANDA AVE, SUITE 324, TARZANA, CA 91356-3647
(818) 895-2126
(818) 304-7546
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A78281
CA
Other
Enumeration date
02/03/2015
Last updated
02/07/2015
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