Provider Demographics
NPI:1144309527
Name:DR. ROBERT A. GRIFFIN, INC
Entity type:Organization
Organization Name:DR. ROBERT A. GRIFFIN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, QME
Authorized Official - Phone:310-779-4926
Mailing Address - Street 1:433 N CAMDEN DR
Mailing Address - Street 2:SUITE 780
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4409
Mailing Address - Country:US
Mailing Address - Phone:310-271-5329
Mailing Address - Fax:323-874-2429
Practice Address - Street 1:433 N CAMDEN DR
Practice Address - Street 2:SUITE 780
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4409
Practice Address - Country:US
Practice Address - Phone:310-271-5329
Practice Address - Fax:323-874-2429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-04
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19359111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty