Organization
SAN LUIS OBISPO REHABILITATION SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B. GRIFFIN M.D. (PRESIDENT)
(805) 543-5908
Entity
Organization
Contact information
Practice address
865 AEROVISTA PL, SUITE 120, SAN LUIS OBISPO, CA 93401-7901
(805) 543-5908
(805) 543-3063
Mailing address
793 E FOOTHILL BLVD STE A, PMB #135, SAN LUIS OBISPO, CA 93405-1699
(805) 543-5908
(805) 543-3063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G66332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088830
—
CA
01
—
ZZZ61463Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
03/09/2007
Last updated
09/20/2011
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