MEDICARE: DR. ROBERT A. GRIFFIN, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	19359	CA

General Provider Information

NPI Number	:	1144309527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ROBERT A. GRIFFIN, INC

Provider Business Mailing Address
First Line	:	433 N CAMDEN DR
Second Line	:	SUITE 780
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4409
Country	:	US
Telephone Number	:	310-271-5329
Fax Number	:	323-874-2429

Provider Business Practice Location Address
First Line	:	433 N CAMDEN DR
Second Line	:	SUITE 780
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4409
Country	:	US
Telephone Number	:	310-271-5329
Fax Number	:	323-874-2429

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT ANDREW GRIFFIN
Credential	:	DC, QME
Telephone Number	:	310-779-4926

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	03/23/2009

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