Organization
ANTHONY C GRIFFIN MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY C GRIFFIN M.D. (COO)
(310) 657-8264
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, SUITE 305, BEVERLY HILLS, CA 90211-2900
(310) 657-8264
(310) 657-8268
Mailing address
PO BOX 6933, BEVERLY HILLS, CA 90212-6933
(310) 657-8264
(310) 657-8268
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G71739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G71739
MEDICARE
CA
Enumeration date
08/23/2010
Last updated
08/07/2013
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