Graham, Scott Michael

Graham, Scott Michael is an individual health care provider with primary practice located at 24331 El Toro Rd Ste 200 , Laguna Woods CA 92637-3116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Graham, Scott Michael can be contacted via phone (949) 586-3200.

Contact Information

Primary practice address
24331 El Toro Rd Ste 200 Laguna Woods CA 92637-3116
Phone: (949) 586-3200
Fax: (949) 900-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A61526 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A61526 California

Profile Details

NPI number 1902809551
LBN Legal business name Graham, Scott Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Oct 16th, 2023 - about 2 years ago

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 1902809551 NPPES
California Other 00A615260G89 CAL-OPTIMA
California MEDICAID 00A615260 CAL-OPTIMA
California Other RR2000 42895 CAL-OPTIMA

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