Individual
SAMUEL T GRIGORYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
29982 IVY GLENN DR STE 203, LAGUNA NIGUEL, CA 92677-2097
(949) 309-7903
(949) 716-5243
Mailing address
1437 E ESCALON AVE, FRESNO, CA 93710-5734
(559) 495-8706
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95165516
CA
Other
Enumeration date
06/22/2018
Last updated
05/15/2023
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