Organization
SAN LUIS OBISPO REHABILITATION SPECIALISTS, INC.
Active
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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