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Individual

AZITA GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1269 POMONA RD STE 111, CORONA, CA 92882-7158
(949) 939-4981
(866) 620-6665
Mailing address
1269 POMONA RD STE 111, CORONA, CA 92882-7158
(949) 939-4981
(866) 620-6665

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
29811
CA
343900000X
Non-emergency Medical Transport (VAN)
900897560
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29811
TCP ( PUBLIC UUILITIES COMMISSION )
CA
Enumeration date
07/24/2006
Last updated
01/23/2013
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