Mcgrade, Gabriel Daniel

Mcgrade, Gabriel Daniel is an sole proprietor health care provider with primary practice located at 12208 Riverside Dr , Valley Village CA 91607-3800. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcgrade, Gabriel Daniel can be contacted via phone (323) 252-2685.

Contact Information

Primary practice address
12208 Riverside Dr Valley Village CA 91607-3800
Phone: (323) 252-2685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1790482701
LBN Legal business name Mcgrade, Gabriel Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2023
Last updated Feb 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790482701 NPPES
California Other Y5610128 DRIVER LICENSE

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