Individual
SHANE MICHAEL GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A179868
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A179868
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2017
Last updated
07/03/2025
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