Graham Mouw, M.D., a Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A78281 Issued in CA

Legal business name

GRAHAM MOUW, M.D., A MEDICAL CORPORATION

Practice address

5525 Etiwanda Ave
Suite 324
Tarzana, CA 91356-3647

Phone

(818) 895-2126

Fax

(818) 304-7546

NPI assigned

Feb 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mae Varon

Title

Credentialing

Phone

(818) 895-2126

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423267200000",
    "number": "1457741076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 324",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-895-2126",
            "fax_number": "818-304-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 324",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-895-2126",
            "fax_number": "818-304-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM MOUW, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-07",
        "status": "A",
        "authorized_official_last_name": "VARON",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "818-895-2126"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A78281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry William Gottschalk, D.D.S.
• Maurice Gourdji, M.D.
• Harry Gouyoumjian, QASP-S
• Corrie Leanne Gradney, RADT
• Rania Graetz, AMFT
• Deborah Ann Graham
• Gavin Graham
• Michael Glenn Graham
• Ahou Marcelle Gray
• Alissa Madeline Gray, MA, AMFT, APCC

• Neurological Surgery Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.