Healthcare Provider Details

I. General information

NPI: 1780758136
Provider Name (Legal Business Name): CHIAFERI GRIFFIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30101 TOWN CENTER DR SUITE 207
LAGUNA NIGUEL CA
92677-5006
US

IV. Provider business mailing address

30101 TOWN CENTER DR SUITE 207
LAGUNA NIGUEL CA
92677-5006
US

V. Phone/Fax

Practice location:
  • Phone: 949-495-5922
  • Fax: 949-481-9908
Mailing address:
  • Phone: 949-495-5922
  • Fax: 949-481-9908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS9776
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC22633
License Number StateCA

VIII. Authorized Official

Name: ROSEMARY R CHIAFERI
Title or Position: CFO
Credential: L.M.F.T.
Phone: 949-495-5922