Individual
JASON GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
420 S BEVERLY DR, SUITE 209, BEVERLY HILLS, CA 90212-4426
(310) 282-8838
(310) 788-0431
Mailing address
420 S BEVERLY DR, SUITE 209, BEVERLY HILLS, CA 90212-4426
(310) 282-8838
(310) 788-0431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A61332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61332
MEDICAL LICENSE
CA
Enumeration date
03/14/2007
Last updated
04/25/2008
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