Healthcare Provider Details

I. General information

NPI: 1669190625
Provider Name (Legal Business Name): ERIC GRIFFIN INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3971 DUBLIN AVE
LOS ANGELES CA
90008-2713
US

IV. Provider business mailing address

3973 DUBLIN AVE
LOS ANGELES CA
90008-2713
US

V. Phone/Fax

Practice location:
  • Phone: 213-663-2689
  • Fax:
Mailing address:
  • Phone: 661-434-1047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMIAN GRIFFIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 213-663-2689