Individual provider · Type 1 NPI

Juan Angel Graciano, LVN

Methadone Clinic · San Diego, CA

NPI number 1477998136 Active

Practice location

3940 Home Ave
San Diego, CA 92105-5952

Call (619) 262-8000 Map

Fax (619) 266-7405

Mailing address

848 Colorado Ave Apt A
Chula Vista, CA 91911-8143

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800X269870 (CA)

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

22 other providers at this address

About NPI 1477998136

Juan Angel Graciano, LVN's National Provider Identifier is 1477998136, issued on May 7, 2013. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in San Diego, CA. The record was last updated on May 7, 2013.