Most Relevant Information
Provider Data
| NPI Number: | 1003540881 |
| Provider Name: | ELVIN KEVIN GRAJALES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2022 |
| Last Updated: | 07/15/2022 |
Provider Practice Location
1801 PARK COURT PL BLDG H
SANTA ANA
CA
927015028
Practice Location Phone/Fax
| Phone: | 5103171444 |
| Fax: |
Provider Mailing Location
1801 PARK COURT PL BLDG H
SANTA ANA
CA
927015028
Provider Mailing Phone/Fax
| Phone: | 5103171444 |
| Fax: |