Individual
DR. JOSEPH BENJAMIN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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, PMB 135, SAN LUIS OBISPO, CA 93405-1615
(805) 543-5908
(805) 543-3063
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G066332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G663320
BLUE SHIELD PIN
CA
05
—
00G663320
—
CA
01
—
169299
CCS & GHPP
—
01
—
468
CMSP
—
Enumeration date
08/31/2005
Last updated
09/26/2011
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