Organization
RICHARD I. GRACER, MD, INC.
Active
Organization
RICHARD I. GRACER, MD, INC.
Active
Other names
Gracer Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD IAN GRACER MD (PRESIDENT)
(925) 366-4860
Entity
Organization
Contact information
Practice address
4 CROW CANYON CT, SUITE 210, SAN RAMON, CA 94583
(925) 366-4860
(925) 886-4466
Mailing address
4 CROW CANYON CT, SUITE 210, SAN RAMON, CA 94583
(925) 366-4860
(925) 886-4466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
G35367
CA
207QA0505X
Adult Medicine Physician
G35367
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G35367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07604Z
BLUE SHIELD PIN
CA
Enumeration date
01/22/2008
Last updated
02/05/2019
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