Individual
DR. DAVID A. GRANOVETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358
(660) 245-2858
Mailing address
6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358
(669) 245-2858
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
G67173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G671730
—
CA
Enumeration date
10/27/2006
Last updated
03/12/2026
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