MEDICARE: DR. SEDA GRAGOSSIAN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist	24901	CA

General Provider Information

NPI Number	:	1548460835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEDA GRAGOSSIAN PHD

Provider Business Mailing Address
First Line	:	5935 CORNERSTONE CT W
Second Line	:	SUITE 125
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3737
Country	:	US
Telephone Number	:	858-205-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	5935 CORNERSTONE CT W
Second Line	:	SUITE 125
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3737
Country	:	US
Telephone Number	:	858-205-2490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	10/14/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1255522017 — MRS. SUSAN ELLEN PULEO RN
Practice Location Address:

5935 CORNERSTONE CT W , #300
SAN DIEGO, CA
92121-3737

Practice Phone: 866-687-7390
Practice Fax:

1316194178 — MRS. KIMBERLI IDONA ROBERTS RN
Practice Location Address:

5935 CORNERSTONE CT W , SUITE 300
SAN DIEGO, CA
92121-3737

Practice Phone: 866-687-7390
Practice Fax:

1013368141 — TALK THERAPY PSYCHOLOGY CENTER, CORP.
Practice Location Address:

5935 CORNERSTONE CT W , SUITE 125
SAN DIEGO, CA
92121-3737

Practice Phone: 858-205-2490
Practice Fax:

1104821156 — DR. HARRIET F SELDIN DMD
Practice Location Address:

3737 MORAGA AVE , STE B113
SAN DIEGO, CA
92117-5356

Practice Phone: 858-274-2483
Practice Fax:

1043299399 — DR. BRUCE R LASKER MD
Practice Location Address:

3737 MORAGA AVE , SUITE A-5
SAN DIEGO, CA
92117-5404

Practice Phone: 858-273-3300
Practice Fax: 858-273-5736

Directions to “ DR. SEDA GRAGOSSIAN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.