Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert Graham Wise Jr., MD

Individual provider Counselor · NPI 1609420371

Dr. Robert Graham Wise Jr., MD is a Counselor in Toluca Lake, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10417 Riverside Dr Apt C
Toluca Lake, CA 91602-2466
Phone: (323) 377-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 645732717 (CA)

Record details

NPI number1609420371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 30, 2019
Last updated in NPPESJuly 30, 2019

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