| Lisa Graff-marsh, Inc. | |
|
4985 Park Rim Dr. San Diego CA 92117 | |
| (858) 272-9812 | |
| (858) 272-9812 |
| Full Name | Lisa Graff-marsh, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 4985 Park Rim Dr., San Diego, California |
| Authorized Official Name and Position | Lisa Graff-marsh (CEO) |
| Authorized Official Contact | 8582729812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Graff-marsh, Inc. 4985 Park Rim Dr. San Diego CA 92117 Ph: (858) 272-9812 | Lisa Graff-marsh, Inc. 4985 Park Rim Dr. San Diego CA 92117 Ph: (858) 272-9812 |
| NPI Number | 1316482995 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 6103101969 |
|---|---|
| Medicare Enrollment ID | O20170320000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316482995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW16077 (California) | Primary |
| Provider Name | Lisa Graff-marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588659080 PECOS PAC ID: 7517052087 Enrollment ID: I20070927000986 |
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