person
Juan Angel Graciano, LVN
Methadone Clinic in San Diego, California
NPI 1477998136

Juan Angel Graciano is a Methadone Clinic based in Chula Vista, CA and is specialized in Methadone. Juan Angel Graciano practices in San Diego, CA and has the professional credentials of LVN. The NPI Number for Juan Angel Graciano is 1477998136 and holds a License No. 269870 (California).

The current practice location address for Juan Angel Graciano is 3940 Home Ave, San Diego, CA and can be reached out via phone at 619-262-8000 and via fax at 619-266-7405.

Location: 3940 Home Ave, San Diego, CA, 91911-8143
person
Provider Profile Details
NPI Number
1477998136
Provider Name
Juan Angel Graciano
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
3940 Home Ave, San Diego, CA, 91911-8143
Phone Number
619-262-8000
Fax Number
619-266-7405
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3940 Home Ave
City
State
Zip
92105-5952
Phone Number
619-262-8000
Fax Number
619-266-7405
person
Provider Business Mailing Address Details
Address
3940 Home Ave
City
State
Zip
92105-5952
Phone Number
619-262-8000
Fax Number
619-266-7405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
269870 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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