| NPI | 1487707667 |
|---|---|
| Former Legal Business Name | J ROBERT GRIFFIN INC |
| Entity Type | Organization |
| Authorized Contact | KWANG S KIM Owner President 916-483-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 7526T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 12003T) |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA A068743) | |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA G53735) | |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA A91190) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-12-16 |