Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Troy Graham

Individual provider Peer Specialist · NPI 1104723048

Troy Graham is a Peer Specialist in San Pedro, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

505 S Pacific Ave
San Pedro, CA 90731-2656
Phone: (310) 519-8723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-GWBMXU (CA)

Record details

NPI number1104723048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2026
Last updated in NPPESOctober 23, 2026
Certification dateOctober 21, 2026

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