John L. Grahm | Camarillo, CA • PECOS Search

John L. Grahm

Psychologist

Behavioral Health & Social Service Providers

360 Mobil Ave, 211d, Camarillo, CA 93010-6325

(805) 654-5671 (805) 529-3644

PECOS Enrollment

Based on the most recent information from CMS, provider John L. Grahm does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:41 AM.

Profile Details

Provider ID
1548347909
Provider Type
Individual
Full Name
Grahm, John L.
Title
Dr.
Credential
PH.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/1/2006
Last Updated
7/8/2007

Contact Information

Practice Location

360 Mobil Ave, 211d, Camarillo, CA 93010-6325

(805) 529-5421

Mailing Location

3362 Cajon Cir, Santa Rosa Valley, CA 93012-8223

(805) 529-5421

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY5296 California