Individual
ANGELA GRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.P.
Contact information
Practice address
2646 DUPONT DR, SUITE 250, IRVINE, CA 92612-8887
(949) 261-2981
(949) 261-8292
Mailing address
309 MONTE VISTA AVE, UNIT F, COSTA MESA, CA 92627-5407
(951) 334-9613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
571138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
09/21/2009
Last updated
09/21/2009
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